Individual
MRS. TRICIA GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
639 38TH ST, ROCK ISLAND, IL 61201-2210
(309) 794-8935
Mailing address
3 SUNSET CIR, BETTENDORF, IA 52722-6044
(309) 269-6360
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
00569
IA
231H00000X
Audiologist
Primary
147.001083
IL
Other
Enumeration date
05/19/2013
Last updated
05/19/2013
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