Individual
MRS. DEMETRIA ANN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41045 VISTA WOODS WAY, CLINTON TOWNSHIP, MI 48038-4536
(586) 291-1411
Mailing address
41045 VISTA WOODS WAY, CLINTON TOWNSHIP, MI 48038-4536
(586) 291-1411
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
4704218611
MI
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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