Provider Demographics
NPI:1467781278
Name:GROSS, RONNET LETISE
Entity Type:Individual
Prefix:
First Name:RONNET
Middle Name:LETISE
Last Name:GROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 P ST SE APT 22H
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6831
Mailing Address - Country:US
Mailing Address - Phone:202-249-0180
Mailing Address - Fax:
Practice Address - Street 1:1829 P ST SE APT 22H
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6831
Practice Address - Country:US
Practice Address - Phone:202-249-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula