Individual
MEKAIL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 52ND ST NE, WASHINGTON, DC 20019-5512
(562) 508-9068
Mailing address
805 52ND ST NE, WASHINGTON, DC 20019-5512
(562) 508-9068
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
46682
FL
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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