RAVEN GROSS
Licensed Practical Nurse
Active
Individual
NPI: 1104718626
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | LPN.187619 (OH) |
Frequently Asked Questions
NPI 1104718626 is the National Provider Identifier for RAVEN GROSS, a Licensed Practical Nurse provider located in Toledo, OH. This NPI was enumerated on July 18, 2025.
RAVEN GROSS practices at 732 MAIN ST, Toledo, OH 43605.
Quick Facts
- NPI
- 1104718626
- Type
- Individual
- Enumerated
- Jul 18, 2025
- Last Updated
- Jul 18, 2025
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