Individual
MECHELLE DENESE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1283 E CHESTERFIELD ST, FERNDALE, MI 48220-2609
(248) 417-3926
Mailing address
1283 E CHESTERFIELD ST, FERNDALE, MI 48220-2609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124284
MI
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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