Individual
DEMIETRENESE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8021 DOCKAL RD, HOUSTON, TX 77028-3331
(832) 721-4188
Mailing address
8021 DOCKAL RD, HOUSTON, TX 77028-3331
(832) 721-4188
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
TX
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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