Individual
JULIE ANNE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
4131 1/2 PIEDMONT AVE, OAKLAND, CA 94611-5109
(415) 786-8872
Mailing address
31635 BURNHAM WAY, HAYWARD, CA 94544-8013
(415) 786-8872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9629
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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