Individual
PATRICIA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
460 N COTTAGE AVE APT A, SHEPHERD, MI 48883-9084
(989) 567-2077
Mailing address
460 N COTTAGE AVE APT A, SHEPHERD, MI 48883-9084
(989) 567-2077
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703054533
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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