Individual
ANGEL GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-6775
Mailing address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-6775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.150066.MEDS-IV
OH
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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