Individual provider · Type 1 NPI
Javon Grant
Driver · Glen Allen, VA
NPI number
1073394763
Active
Practice location
10978 Elmont Woods Dr
Glen Allen, VA 23059-1968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1073394763
Javon Grant's National Provider Identifier is 1073394763, issued on Oct 10, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Glen Allen, VA. The record was last updated on Oct 10, 2023.