Individual
PJEY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 WENDELL DR, MONROE, LA 71202-5037
(318) 582-9216
Mailing address
1906 WENDELL DR, MONROE, LA 71202-5037
(318) 582-9216
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
172A00000X
Driver
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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