Individual
DIANE MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2100 ROANOKE ST, CHRISTIANSBURG, VA 24073-2512
(540) 299-1149
(540) 394-7105
Mailing address
2100 ROANOKE ST, CHRISTIANSBURG, VA 24073-2512
(540) 299-1149
(540) 394-7105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002078945
VA
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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