Individual
MRS. JODI ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2689 E JAGERSON AVE, KINGMAN, AZ 86409-1440
(928) 757-5100
Mailing address
2689 E JAGERSON AVE, KINGMAN, AZ 86409-1440
(928) 757-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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