Grant, Antia Elease

Grant, Antia Elease is an sole proprietor health care provider with primary practice located at 14517 General Washington Dr , Woodbridge VA 22193-3255. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Grant, Antia Elease can be contacted via phone (703) 636-2266.

Contact Information

Primary practice address
14517 General Washington Dr Woodbridge VA 22193-3255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 0001279550 Virginia

Profile Details

NPI number 1740952092
LBN Legal business name Grant, Antia Elease
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated Oct 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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