LAVERN GRANDISON

ELMONT, NY
NPI1619340825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  3409469900497e)
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
-- LAVERN GRANDISON
24 JACKSON AVE
ELMONT, NY 11003-4202
Phone number: 516-424-9388
Mailing Address
-- LAVERN GRANDISON
24 JACKSON AVE
ELMONT, NY 11003-4202
Phone number: 516-424-9388