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Individual

LATOYA LASHAWN GRANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
1750 W OGDEN AVE UNIT 2531, NAPERVILLE, IL 60567-1222
(630) 200-6257
Mailing address
1750 W OGDEN AVE UNIT 2531, NAPERVILLE, IL 60567-1222
(630) 200-6257

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
8500
IL

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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