Individual
TERAGA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 IVANHOE AVE, BALTIMORE, MD 21212-4322
(443) 627-3083
Mailing address
5201 IVANHOE AVE, BALTIMORE, MD 21212-4322
(443) 627-3083
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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