Individual
JENNIFER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 ALLEQUIPPA ST, PITTSBURGH, PA 15213-2325
(412) 961-2449
Mailing address
2425 ALLEQUIPPA ST, PITTSBURGH, PA 15213-2325
(412) 961-2449
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
PA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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