GRANT LEE HOM

CHARLOTTESVILLE, VA
NPI1275227332
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-02
Last Update Date2024-03-31
Business Address
GRANT LEE HOM
1215 LEE ST
CHARLOTTESVILLE, VA 22908-4711
Phone number: 434-924-8145
Mailing Address
GRANT LEE HOM
1215 LEE STREET MAILBOX 800136
CHARLOTTESVILLE, VA 22908-0816
Phone number:
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