Individual
MRS. HERLEESHA GRANDERSON GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 HOLLOW LN, LEESBURG, FL 34748-9596
(352) 530-8423
Mailing address
PO BOX 493613, LEESBURG, FL 34749-3613
(352) 530-8423
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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