Individual
LENECIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S LOGAN ST, GAFFNEY, SC 29341-1609
(864) 487-2705
Mailing address
350 W POINTE DR, SPARTANBURG, SC 29301-3401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92586
SC
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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