Individual
MRS. MICHELLE RENEE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5058 CARMINE AVE, BALTO, MD 21207
(410) 448-2480
Mailing address
5058 CARMINE AVE, BALTO, MD 21207
(410) 448-2480
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MD
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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