Individual
MILLICENT GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
76 EAST LN, WILLINGBORO, NJ 08046-2220
(800) 950-6066
Mailing address
76 EAST LN, WILLINGBORO, NJ 08046-2220
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NO08463100
NJ
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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