Individual
LAUREL D ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2700
(802) 728-2394
Mailing address
PO BOX 2000, RANDOLPH, VT 05060-2000
(802) 728-7000
(802) 728-2394
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
0740000148
VT
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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