Individual
DONNA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
8142 W PALMAIRE AVE, GLENDALE, AZ 85303-2209
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN046611
AZ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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