Individual
JILL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 MAINE ST, POLAND, ME 04274-6719
(207) 899-9988
(207) 899-9988
Mailing address
177 BIRCH DR, POLAND SPRING, ME 04274-6111
(207) 786-2411
(207) 786-2411
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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