Gross, Wanda Rigina

Gross, Wanda Rigina is an individual health care provider with primary practice located at 1423 Dunwoody Ave , Oxon Hill MD 20745-2340. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Gross, Wanda Rigina can be contacted via phone (240) 838-6935.

Contact Information

Primary practice address
1423 Dunwoody Ave Oxon Hill MD 20745-2340
Phone: (240) 838-6935
Fax: (240) 719-3953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X R4805 Maryland

Profile Details

NPI number 1942797386
LBN Legal business name Gross, Wanda Rigina
Credentials NURSE ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2018
Last updated Aug 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942797386 NPPES
Maryland MEDICAID 1487192910
Maryland Other R4805
Maryland Other 1487192910

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