Shanta Grant
Shanta Grant is a Licensed Practical Nurse in Mohegan Lake, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
2927 Lexington AveMohegan Lake, NY 10547-1836
Phone: (914) 514-7751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 345828 (NY) |
|---|
Record details
| NPI number | 1134830755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2022 |
| Last updated in NPPES | December 6, 2022 |
| Certification date | December 6, 2022 |
| Mailing address | 2927 Lexington Ave, Mohegan Lake, NY 10547-1836 |
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