Shanta Grant
NPI #1134830755 in Mohegan Lake, New York
Provider Information
- NPI Number
- 1134830755
- Entity Type
- Individual
- Name
- Shanta Grant
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 6, 2022
- Last Updated
- Dec 6, 2022
Practice Location
- Address
- 2927 LEXINGTON AVE
- City
- Mohegan Lake
- State
- New York
- ZIP Code
- 10547-1836
- Phone
- (914) 514-7751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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