Individual
COLLEEN MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
11301 WILSHIRE BLVD, N&FS (120), LOS ANGELES, CA 90073-1003
(310) 268-3120
Mailing address
24362 VALLEY ST, NEWHALL, CA 91321-3529
(661) 287-9461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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