Individual
MRS. STEPHANIE TANYA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, CLC
Contact information
Practice address
233 RIDGEWOOD RD, COOKEVILLE, TN 38501-7926
(931) 808-3368
Mailing address
233 RIDGEWOOD RD, COOKEVILLE, TN 38501-7926
(931) 808-3368
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-306804
TN
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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