Individual
ZEALENE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 BOB THOMAS CIR, SANFORD, FL 32771-3094
(407) 878-9224
(407) 878-2230
Mailing address
166 BOB THOMAS CIR, SANFORD, FL 32771-3094
(407) 878-9224
(407) 878-2230
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
232966
FL
376J00000X
Homemaker
Primary
232966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677283896
—
FL
05
—
677283898
—
FL
Enumeration date
02/18/2013
Last updated
02/18/2013
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