Individual
RENEE HYMEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3970
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200410
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04682011
—
MS
05
—
2335511
—
LA
Enumeration date
07/16/2011
Last updated
04/28/2014
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