Individual
SHIFFON GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 ROUTE 166 APT 1507, TOMS RIVER, NJ 08753-4156
(732) 505-1550
Mailing address
1040 ROUTE 166 APT 1507, TOMS RIVER, NJ 08753-4156
(732) 505-1550
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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