Individual
AMANDA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
512 W BUENA VISTA RD, EVANSVILLE, IN 47710-3460
(812) 483-3756
Mailing address
512 W BUENA VISTA RD, EVANSVILLE, IN 47710-3460
(812) 483-3756
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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