Individual
DAVID E ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95340-6217
(209) 381-6879
Mailing address
1895 LOYOLA WAY, TURLOCK, CA 95382-1828
(209) 634-9150
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28743
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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