Individual
BRENNAH VIRGINIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DECATUR ST SE DEPT OF, ATLANTA, GA 30303-3204
(610) 246-4631
Mailing address
3301 RENAISSANCE WAY NE, ATLANTA, GA 30308-2464
(610) 246-4631
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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