Individual
CYNTHIA F GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2593 PARK LN, LAFAYETTE, CO 80026-3172
(303) 449-7740
Mailing address
12 BENTHAVEN PL, BOULDER, CO 80305-6252
(303) 818-2389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0191134
CO
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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