Individual
SHEENA MACKENZIE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
307 SW 5TH ST, FT LAUDERDALE, FL 33315-1048
(954) 905-6621
Mailing address
304 SE 21ST ST, D, FORT LAUDERDALE, FL 33316-3473
(954) 200-0543
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2578692
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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