Individual
ZAMON ARIEL GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11633 VEIRS MILL RD, SILVER SPRING, MD 20902
(601) 888-0505
Mailing address
11633 VEIRS MILL RD, SILVER SPRING, MD 20902-2428
(601) 888-0505
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
G-652-974-071-113
MS
Other
Enumeration date
07/11/2018
Last updated
07/31/2018
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