Individual
DALTON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(402) 537-6200
Mailing address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(402) 537-6200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
NE
Enumeration date
09/16/2022
Last updated
09/16/2022
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