SANDRA YVONNE GANTT

WATERTOWN, NY
NPI1609173848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  277780)
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
-- SANDRA YVONNE GANTT LPN
21107 NYS RT. 12F
WATERTOWN, NY 13601
Phone number: 315-782-9285
Mailing Address
-- SANDRA YVONNE GANTT LPN
180 PALMER ST
WATERTOWN, NY 13601-2344
Phone number: 315-786-1101