Individual
TESSA ANNALISE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1431 GRAVINK CT, WOODLAND, CA 95776-6730
(530) 848-2359
Mailing address
1431 GRAVINK CT, WOODLAND, CA 95776-6730
(530) 848-2359
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963
—
CA
Enumeration date
02/27/2023
Last updated
02/27/2023
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