Individual
MRS. AMANDA GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, NBC-HWC
Contact information
Practice address
5520 E STATE ROAD 64 STE 101, BRADENTON, FL 34208-5526
(941) 721-0649
Mailing address
1999 SCARLETT AVE, NORTH PORT, FL 34289-9400
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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