Individual
JENNIFER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1499 NEWMAN AVE, LAKEWOOD, OH 44107-5117
(216) 701-6251
Mailing address
1499 NEWMAN AVE, LAKEWOOD, OH 44107-5117
(216) 701-6251
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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