Individual
HANA RAINE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
342 FIFTH AVE, PELHAM, NY 10803-1204
(914) 738-1748
Mailing address
17 DUNNIGAN DR, POMONA, NY 10970-2656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002957
NY
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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