Individual
JEFFERY S GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2523 14TH ST NW, WASHINGTON, DC 20009-7909
(202) 667-8831
Mailing address
2523 14TH ST NW, WASHINGTON, DC 20009-7909
(202) 667-8831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN52302
DC
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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