Individual
EVAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8225
Mailing address
914 E 8TH ST, # 106, NATIONAL CITY, CA 91950-2567
(619) 251-3850
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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