MAXINE M GRANSTAN

LAKELAND, FL
NPI1013481530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: FL  CNA345440)
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
Ms. MAXINE M GRANSTAN CNA
122 E MAIN ST # 164
LAKELAND, FL 33801-4655
Phone number: 863-272-1001
Mailing Address
Ms. MAXINE M GRANSTAN CNA
122 E MAIN ST # 164
LAKELAND, FL 33801-4655
Phone number: 863-272-1001