Individual
DAMITA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711- B EAST FRONT STREET, PLAINFIELD, NJ 07060
(800) 950-6066
Mailing address
711- B EAST FRONT STREET, PLAINFIELD, NJ 07060
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR11251300
NJ
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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