Individual
JANITA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
3405A N 2ND ST, MILWAUKEE, WI 53212-1556
(414) 306-3030
Mailing address
PO BOX 11255, MILWAUKEE, WI 53211-0255
(414) 306-3030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313301-031
WI
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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