VONGRETSHUN SMITH-GROSS

Licensed Practical Nurse

Active Individual
NPI: 1093361321

Practice Address

9846 HWY 31 E
Tyler, TX 75705

Phone: (903) 525-3801

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 196090 (TN)

Frequently Asked Questions

NPI 1093361321 is the National Provider Identifier for VONGRETSHUN SMITH-GROSS, a Licensed Practical Nurse provider located in Tyler, TX. This NPI was enumerated on August 13, 2019.
VONGRETSHUN SMITH-GROSS practices at 9846 HWY 31 E, Tyler, TX 75705.

Quick Facts

NPI
1093361321
Type
Individual
Enumerated
Aug 13, 2019
Last Updated
Aug 13, 2019

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