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Individual

LAWANNA ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
70 RANDY TRCE, COVINGTON, GA 30016-6727
(951) 385-7165
Mailing address
70 RANDY TRCE, COVINGTON, GA 30016-6727
(951) 385-7165

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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