Individual
VANESSA MARIE GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2359 SEBAGO DR, LAKELAND, FL 33805-8008
(863) 370-7767
Mailing address
2359 SEBAGO DR, LAKELAND, FL 33805-8008
(863) 370-7767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9314338
FL
163WI0500X
Infusion Therapy Registered Nurse
RN9314338
FL
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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