Individual
DR. JEANOLIVIA DEAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LOWER NAVY HILL, SAIPAN, MP 96950-0409
(670) 234-8950
Mailing address
P.O. BOX 500409, SAIPAN, MP 96950-0409
(670) 234-8950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.17134
AL
207V00000X
Obstetrics & Gynecology Physician
468
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468
LICENSE
MP
Enumeration date
02/05/2009
Last updated
02/18/2019
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