Elaina Grant, RDH

NPI #1174241574 in Manassas, Virginia

Provider Information

NPI Number: 1174241574
Entity Type: Individual
Name: Elaina Grant, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: RDH
Enumeration Date: Aug 22, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 9071 CENTER ST
City: Manassas
State: Virginia
ZIP Code: 20110-5430
Phone: (703) 609-1182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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