Individual
IVANNA JESSLYNN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
834 W MEETING ST STE E, LANCASTER, SC 29720-6220
(803) 285-5900
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4679
SC
Other
Enumeration date
09/22/2022
Last updated
11/28/2022
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