Individual
JENNIFER DENISE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16700 177TH AVE SE, MONROE, WA 98272-9141
(360) 794-2600
Mailing address
8231 1ST PL SE, LAKE STEVENS, WA 98258-3351
(425) 239-2773
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60763248
WA
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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