Sandra Yvonne Gantt, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Watertown, NY

NPI

1609173848

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

277780 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2011-02-24

Last updated

2011-02-24