Individual
PAMELA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 JACOB LOIS DR, JACKSONVILLE, FL 32218-2970
(904) 483-1870
(904) 239-3178
Mailing address
3606 JACOB LOIS DR, JACKSONVILLE, FL 32218-2970
(904) 483-1870
(904) 239-3178
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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