Individual
MRS. JUDY E GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3873 MAPLE ACRES RD, BLUEFIELD, WV 24701-5055
(304) 327-8846
(304) 327-0722
Mailing address
3873 MAPLE ACRES RD, BLUEFIELD, WV 24701-5055
(304) 327-8846
(304) 327-0722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
74280
WV
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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