Individual
JODILYN M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7363 JEDDO RD, GRANT TOWNSHIP, MI 48032-1006
(810) 388-1200
Mailing address
7163 SHERIDAN LINE RD, LEXINGTON, MI 48450-9334
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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