Individual
ANGELICA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 DEVONSHIRE SQ, JACKSON, TN 38305-2229
(800) 650-1429
Mailing address
128 DEVONSHIRE SQ, JACKSON, TN 38305-2229
(800) 650-1429
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TN
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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