Individual
SUSAN M. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 BENTON AVE, BENTON, ME 04901-3327
(207) 453-4708
(207) 453-6250
Mailing address
1604 BENTON AVE, BENTON, ME 04901-3327
(207) 453-4708
(207) 453-6250
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RO47863
ME
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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