Tanisha Nicole Grant
NPI #1578920047 in Port Richey, Florida
Provider Information
- NPI Number
- 1578920047
- Entity Type
- Individual
- Name
- Tanisha Nicole Grant
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Jan 28, 2016
- Last Updated
- Jan 28, 2016
Practice Location
- Address
- 8115 SIMSBURY DR
- City
- Port Richey
- State
- Florida
- ZIP Code
- 34668-5146
- Phone
- (813) 420-6873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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