MR. David Allen Grant

NPI #1275261273 in Vineyard Haven, Massachusetts

Provider Information

NPI Number: 1275261273
Entity Type: Individual
Name: MR. David Allen Grant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Aug 9, 2022
Last Updated: Aug 9, 2022

Practice Location

Address: 111 EDGARTOWN RD
City: Vineyard Haven
State: Massachusetts
ZIP Code: 02568-5699
Phone: (508) 693-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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