Individual
LAKESHA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 HICKORY BLUFF CT, KERNERSVILLE, NC 27284-8494
(336) 646-8471
Mailing address
108 HICKORY BLUFF CT, KERNERSVILLE, NC 27284-8494
(336) 646-8471
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000026421807
NC
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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