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Individual

TERRI L. ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5344
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5344

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10611
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780871
LA
Enumeration date
03/04/2006
Last updated
07/08/2007
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