Individual
ALEXANDRIA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MARBLEDALE CT, REISTERSTOWN, MD 21136-3210
(301) 814-1432
Mailing address
6 MARBLEDALE CT, REISTERSTOWN, MD 21136-3210
(301) 814-1432
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-50866
GU
176B00000X
Midwife
Primary
R194817
MD
Other
Enumeration date
03/31/2016
Last updated
11/26/2019
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