Individual
JANA MICHELE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
697 LOUISIANA DR, 7 TH AMDS/SGGF, DYESS, TX 79607
(325) 696-5490
Mailing address
697 LOUISIANA DR, 7 TH AMDS/SGGF, DYESS, TX 79607
(325) 696-5490
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/21/2009
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