Individual
SHAWTI L ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27400 CHARDON RD APT 1007, WILLOUGHBY HILLS, OH 44092-2773
(216) 421-6783
Mailing address
27400 CHARDON RD APT 1007, WILLOUGHBY HILLS, OH 44092-2773
(216) 421-6783
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TZ177966
OH
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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