Individual
GRACE J ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 FORT ST, NEAH BAY, WA 98357-4003
(360) 645-2233
Mailing address
PO BOX 410, NEAH BAY, WA 98357-0410
(360) 645-2233
(360) 645-2723
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN60481472
WA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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