Individual
MARY LORETTA GOSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6502
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6502
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
RN 197253
OH
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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