Individual
MR. JOHN JOSEPH GOSS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8106 W LAPHAM ST, WEST ALLIS, WI 53214-4442
(414) 380-1411
Mailing address
21505 S KOSKI PARK LN, CHENEY, WA 99004-7953
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
163WH0200X
WI
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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