Individual
MICHELLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
2915 APPLEWOOD DR, LODI, CA 95242-8318
(916) 572-5104
(888) 958-0818
Mailing address
2915 APPLEWOOD DR, LODI, CA 95242-8318
(916) 572-5104
(888) 958-0818
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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