Individual
MRS. JULIAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
362 AVERY ST, SOUTH WINDSOR, CT 06074-3002
(914) 426-6302
Mailing address
362 AVERY ST, SOUTH WINDSOR, CT 06074-3002
(914) 426-6302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
620151
NY
164W00000X
Licensed Practical Nurse
289605
NY
Other
Enumeration date
10/25/2007
Last updated
12/13/2021
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