Individual
KIMBERLY CAROL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 S PULASKI RD APT 105, OAK LAWN, IL 60453-3322
(773) 655-9401
Mailing address
9720 S PULASKI RD APT 105, OAK LAWN, IL 60453-3322
(773) 655-9401
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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