person
Antia Elease Grant, RN
General Practice Registered Nurse in Woodbridge, Virginia
NPI 1740952092

Antia Elease Grant is a General Practice Registered Nurse based in Woodbridge, VA and is specialized in General Practice. Antia Elease Grant practices in Woodbridge, VA and has the professional credentials of RN. The NPI Number for Antia Elease Grant is 1740952092 and holds a License No. 0001279550 (Virginia).

The current practice location address for Antia Elease Grant is 14517 General Washington Dr, Woodbridge, VA and can be reached out via phone at 703-636-2266.

Location: 14517 General Washington Dr, Woodbridge, VA, 22193-3255
person
Provider Profile Details
NPI Number
1740952092
Provider Name
Antia Elease Grant
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
14517 General Washington Dr, Woodbridge, VA, 22193-3255
Phone Number
703-636-2266
Fax Number
Provider Enumeration Date
10/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14517 General Washington Dr
City
State
Zip
22193-3255
Phone Number
703-636-2266
Fax Number
person
Provider Business Mailing Address Details
Address
14517 General Washington Dr
City
State
Zip
22193-3255
Phone Number
703-636-2266
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
0001279550 (Virginia)
Definition
Definition to come...
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