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Individual

BRENDA JOYCE ROSS-SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1135 S SUNSET AVE STE 402, WEST COVINA, CA 91790-3938
(626) 337-4425
(626) 337-4305
Mailing address
1135 S SUNSET AVE STE 402, WEST COVINA, CA 91790-3938
(626) 337-4425
(626) 337-4305

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G71304
CA
207VX0000X
Obstetrics Physician
D52050
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G713040
CA
Enumeration date
06/28/2006
Last updated
05/21/2015
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