Individual
EBONY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 FRANKFORD RD, APT 11306, DALLAS, TX 75287-6390
(214) 770-2636
Mailing address
3702 FRANKFORD RD, APT 11306, DALLAS, TX 75287-6390
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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