Individual
KATHLYNN M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E OAK AVE, TAMPA, FL 33602-2210
(727) 269-2323
Mailing address
787 49TH AVE N, ST PETERSBURG, FL 33703-3728
(727) 269-2323
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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