Individual
KERSTYN IRENE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 NM-206, PORTALES, NM 88130
(505) 554-6158
Mailing address
8083 NM 206, PORTALES, NM 88130-9756
(505) 554-6158
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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