Individual
JARRED DARREN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
WA
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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