Individual
CHRIS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 E OGDEN AVE, LAS VEGAS, NV 89101-4234
(702) 416-9028
Mailing address
913 E OGDEN AVE, LAS VEGAS, NV 89101-4234
(702) 164-9028
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1053975078
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053975078
—
NV
Enumeration date
12/09/2021
Last updated
12/09/2021
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