Individual
MS. ANA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
420 W ACACIA ST STE 19, STOCKTON, CA 95203-2441
(209) 461-3196
Mailing address
PO BOX 1161, SACRAMENTO, CA 95812-1161
(209) 461-3196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13098
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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