ANTIA ELEASE GRANT

WOODBRIDGE, VA
NPI1740952092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: VA  0001279550)
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
ANTIA ELEASE GRANT RN
14517 GENERAL WASHINGTON DR
WOODBRIDGE, VA 22193-3255
Phone number: 703-636-2266
Mailing Address
ANTIA ELEASE GRANT RN
14517 GENERAL WASHINGTON DR
WOODBRIDGE, VA 22193-3255
Phone number: