Individual
ALMA ANGELA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 E 218TH ST, BRONX, NY 10467-5805
(404) 421-8867
Mailing address
835 E 218TH ST, BRONX, NY 10467-5805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
254503-1
NY
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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