Individual
MS. JA SHALA LYNN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 LINCOLN AVE LOWR, TOLEDO, OH 43607-1811
(419) 902-9991
Mailing address
14-SOUTHARD AVE. 303, 303, TOLEDO, OH 43604
(419) 902-9991
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501016130805
OH
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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