Individual
KENIESHA CAMILLA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 7TH AVE, NEW YORK, NY 10001-5004
(973) 658-3109
Mailing address
333 7TH AVE FL 18, NEW YORK, NY 10001-5086
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
841332
NY
163WS0200X
School Registered Nurse
841332
NY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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