Individual
ANGELA CHANEY-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W 2ND ST, MOUNT VERNON, NY 10550-2903
(914) 582-2284
Mailing address
124 W 2ND ST, MOUNT VERNON, NY 10550-2903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
614515-1
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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