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Individual

MS. LAVERNE PATRICIA ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4545 N 67TH AVE, UNIT 1096, PHOENIX, AZ 85033-1660
(623) 846-1342
Mailing address
4545 N 67TH AVE # U1096, PHOENIX, AZ 85033-1660
(623) 846-1342

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN026555
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
791344
NPI
AZ
Enumeration date
08/25/2009
Last updated
08/25/2009
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