Individual
JULAYNE L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1976
Mailing address
500 W VOTAW ST, PORTLAND, IN 47371-1322
(260) 726-7131
(260) 726-1976
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001046A
IN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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