Nickeshia Grant
NPI #1265259998 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1265259998
- Entity Type
- Individual
- Name
- Nickeshia Grant
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 24, 2024
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- 26 FOREST RIDGE RD
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06708-1810
- Phone
- (914) 572-8683
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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