Individual
MR. DERRICK L. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
1515 EUBANK BLVD SE, BLDG 831, ALBUQUERQUE, NM 87185-1019
(505) 844-4237
Mailing address
1515 EUBANK BLVD SE, BLDG 831, ALBUQUERQUE, NM 87185-1019
(505) 844-4237
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
00014425
NM
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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