Individual
MRS. MARY ANN GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 MEMORIAL AVE, CUMBERLAND, MD 21502-3765
(301) 723-4121
Mailing address
124 N LAKEWOOD DR, RIDGELEY, WV 26753-9722
(304) 738-8898
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R115545
MD
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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