Individual
JAMES JOHN ROSS
Active
Individual
JAMES JOHN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LMT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN576521
PA
225700000X
Massage Therapist
Primary
MSG008155
PA
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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