Individual
MRS. JOANNE MARYJANE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4651 GRAFORD LN, STOW, OH 44224-2020
(330) 678-7650
Mailing address
PO BOX 1538, 4651 GRAFORD LANE, STOW, OH 44224-0538
(330) 678-7650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.111843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.111843
RN LICENSE -COA1
OH
Enumeration date
05/29/2007
Last updated
07/08/2007
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