DEITA GRANT

QUEENS VILLAGE, NY
NPI1699097410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  206711)
Enumeration Date2010-02-20
Last Update Date2010-02-20
Business Address
-- DEITA GRANT
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number: 718-468-6923
Mailing Address
-- DEITA GRANT
22121 JAMAICA AVE
QUEENS VILLAGE, NY 11428-2015
Phone number:
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