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Individual

ALLANA GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8 SUMMIT CT, CLEMENTON, NJ 08021-5820
(856) 343-2514
Mailing address
8 SUMMIT CT, CLEMENTON, NJ 08021-5820
(856) 343-2514

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49753100
NJ

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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