Individual
REBEKAH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
140 SW J ST, RICHMOND, IN 47374-5337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99036648A
IN
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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