Individual
JORDEN STARR ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W 13TH ST, PUEBLO, CO 81003-3754
(719) 696-9027
Mailing address
16 BRAMBLEWOOD LN, PUEBLO, CO 81005-3366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0338979
CO
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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