Individual
MRS. ASHLEY ELIZABETH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 LEIGH DR APT F50, COLUMBUS, MS 39705-3369
(405) 512-2485
Mailing address
605 LEIGH DR APT F50, COLUMBUS, MS 39705-3369
(405) 512-2485
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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