Individual
SYLVIA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
919 12TH AVE S, LAKE WORTH, FL 33460
(561) 547-4301
Mailing address
919 12TH AVE S, LAKE WORTH, FL 33460-5403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9348407
FL
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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