MICA DIANNA GRANTHAM

WASHINGTON, DC
NPI1336433390
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: DC  MD210002279)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: DE  C1-0011207)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA  MD453773)
Enumeration Date2011-06-07
Last Update Date2023-02-02
Business Address
MICA DIANNA GRANTHAM
2041 GEORGIA AVENUE, NW 1M05
WASHINGTON, DC 20060-0001
Phone number: 202-865-1354
Mailing Address
MICA DIANNA GRANTHAM
2041 GEORGIA AVE NW STE 1M05
WASHINGTON, DC 20060-0001
Phone number: 202-865-1354