Individual
BARBARA E GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10546 ELK RIVER RD, CLENDENIN, WV 25045
(304) 993-9128
Mailing address
PO BOX 476, CLENDENIN, WV 25045-0476
(304) 993-9128
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
05/09/2022
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