Individual
KIMBERLY GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 W FREY ST # 825, STEPHENVILLE, TX 76401-1919
(254) 964-8455
Mailing address
2825 W FREY ST # 825, STEPHENVILLE, TX 76401-1919
(254) 964-8455
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
305823
TX
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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