Individual
BOBBIE JANE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
1905 STINE RD, PENINSULA, OH 44264-9507
(330) 697-7535
Mailing address
1905 STINE RD, PENINSULA, OH 44264-9507
(330) 697-7535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN211613
OH
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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