Individual
JENNY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2981 BRISTOL ST STE B5, COSTA MESA, CA 92626-5915
(714) 754-0718
Mailing address
2981 BRISTOL ST STE B5, COSTA MESA, CA 92626-5915
(714) 754-0718
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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