Individual
MS. JENETHA RENEE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2464 GREENVALE RD, CLEVELAND, OH 44121-1117
(216) 773-7665
Mailing address
2464 GREENVALE RD, CLEVELAND, OH 44121-1117
(216) 773-7665
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
375204091195
OH
Other
Enumeration date
12/26/2009
Last updated
12/26/2009
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