Individual
MRS. SEKETA S ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 W MAIN ST, MAGNOLIA, AR 71753-3318
(870) 901-6150
(870) 234-8663
Mailing address
904 W MAIN ST, MAGNOLIA, AR 71753-3318
(870) 901-6150
(870) 234-8663
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
AR
Other
Enumeration date
04/07/2007
Last updated
07/25/2007
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