Individual
DANIELLE MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
40700 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5795
(951) 894-5072
Mailing address
3892 LINDSAY ST, RIVERSIDE, CA 92509-2525
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330652655
—
CA
Enumeration date
02/28/2018
Last updated
02/28/2018
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