Individual
MS. DENISE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
174 1ST AVE N, ILWACO, WA 98624-0258
(360) 642-3181
(360) 642-6309
Mailing address
PO BOX H, ILWACO, WA 98624-0258
(360) 642-3181
(360) 642-6309
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN00117618
WA
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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