Tangela Renorda Grant
NPI #1023857182 in Loganville, Georgia
Provider Information
- NPI Number
- 1023857182
- Entity Type
- Individual
- Name
- Tangela Renorda Grant
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- May 20, 2024
- Last Updated
- May 20, 2024
Practice Location
- Address
- 753 CREEK BOTTOM RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-6667
- Phone
- (678) 939-4744
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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