Individual
MS. SUSAN V GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 668-2613
(530) 668-4839
Mailing address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225380
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
NPF5869
CA
Other
Enumeration date
07/26/2006
Last updated
05/07/2008
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