SAMANTHA ANN GRANT

MEDFORD, NY
NPI1417126558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  275599)
Enumeration Date2008-02-22
Last Update Date2026-01-07
Business Address
SAMANTHA ANN GRANT LPN
55 RUSTIC AVE
MEDFORD, NY 11763-4400
Phone number: 631-235-6924
Mailing Address
SAMANTHA ANN GRANT LPN
55 RUSTIC AVE
MEDFORD, NY 11763-4400
Phone number: 631-235-6924