Audrey Nadine Grant PAC

NPI 1073664199 - Physician Assistant - 363AS0400X

NPI Details
NPI 1073664199
Gender Female
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5255 LOUGHBORO RD NW
WASHINGTON DC, 20016-2633, US
Phone (202) 537-4122
Fax
Business Location
1332 INGRAHAM ST NW
WASHINGTON DC, 20011-3604, US
Phone
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State DO Columbia
License Number PA47
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According to our database, Audrey Nadine Grant PAC NPI is 1073664199, taxonomy code is 363AS0400X and license number is PA47, license state is located at DO Columbia. Audrey Nadine Grant PAC physically located at 5255 Loughboro Rd Nw, Washington DC, 20016-2633. NPI Number Audrey Nadine Grant PAC has the Individual type.

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1073664199 NPI number is provided on an as is basis without warranty of any kind. 1073664199 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Nadine Grant PAC are for informational purposes only.