Individual
MIKAELAH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 FORBES BLVD STE 200-E21, LANHAM, MD 20706-6312
(833) 421-2796
Mailing address
712 H ST NE STE 1509, WASHINGTON, DC 20002-3627
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
3747P1801X
Personal Care Attendant
—
DC
Other
Enumeration date
02/06/2025
Last updated
01/03/2026
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