Individual
DEBRA WHITE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 VEST MILL RD STE 7, WINSTON SALEM, NC 27103-2989
(336) 765-2273
Mailing address
3560 VEST MILL RD STE 7, WINSTON SALEM, NC 27103-2989
(336) 765-2273
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC1254
NC
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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