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Individual

JEFFREY E GRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(410) 535-8295
(410) 414-4788
Mailing address
8601 KIP DR, OWINGS, MD 20736-9760
(410) 535-8295
(410) 414-4788

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R129976
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051037
AANA #
Enumeration date
01/09/2006
Last updated
10/20/2011
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