MARK EDWARD GROSS

LOUISA, KY
NPI1154057651
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
MARK EDWARD GROSS PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
MARK EDWARD GROSS PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938