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Individual

KIZZY ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6216 BEECHMONT BLVD, ORLANDO, FL 32808-2318
(407) 283-2699
Mailing address
6216 BEECHMONT BLVD, ORLANDO, FL 32808-2318
(407) 283-2699

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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