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Individual

JENNIFER ANNE GROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
23371 MULHOLLAND DR STE 343, WOODLAND HILLS, CA 91364-2734
(310) 621-3502
Mailing address
23371 MULHOLLAND DR STE 343, WOODLAND HILLS, CA 91364-2734
(310) 621-3502

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17437
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17437
STATE LICENSE
CA
Enumeration date
09/14/2006
Last updated
03/07/2023
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