Individual
FELICIA W ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
807 CAROLINA STREET, LOGANSPORT, LA 71049
(318) 458-0665
Mailing address
PO BOX 714, LOGANSPORT, LA 71049-0714
(318) 458-0665
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
291170
LA
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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