Individual
SELENA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 YEMANS, HAMTRAMCK, MI 48212-3242
(313) 305-7972
Mailing address
1971 YEMANS ST, HAMTRAMCK, MI 48212-3242
(313) 305-7972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
OH
247200000X
Other Technician
—
—
Other
Enumeration date
08/31/2016
Last updated
09/23/2024
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