Individual
DIANE LEE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE LVN
Contact information
Practice address
14610 GERONIMO LAKE CT, HOUSTON, TX 77047-6784
(713) 738-0230
Mailing address
14610 GERONIMO LAKE CT, HOUSTON, TX 77047-6784
(713) 738-0230
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
116741
TX
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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