Individual
JENNIFER KAY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12345 IRWIN RD, IRWIN, OH 43029-9605
(614) 296-7871
Mailing address
12345 IRWIN RD, IRWIN, OH 43029-9605
(614) 296-7871
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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