Individual
HALEY GROSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N WASHINGTON AVE, DALLAS, TX 75246-1754
(254) 202-1266
Mailing address
122 SANDY LN, WACO, TX 76708-7009
(254) 202-1266
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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