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Individual

JEREMY ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1409 MIDVALE AVE APT 204, LOS ANGELES, CA 90024-5434
(310) 478-3711

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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