Individual
GLENDA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8609
Mailing address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0026318
OK
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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