Individual
LOTINA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1B RHOBELLA DR, POUGHKEEPSIE, NY 12603-1929
(845) 309-2087
Mailing address
1B RHOBELLA DR, POUGHKEEPSIE, NY 12603-1929
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
709641
NY
163WH0200X
Home Health Registered Nurse
Primary
709641-1
NY
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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