Individual
MS. JASWANIQUE DAON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 EE WALLACE BLVD N STE 3, FERRIDAY, LA 71334-2821
(318) 757-0016
(318) 757-0011
Mailing address
118 HWY 605, NEWELLTON, LA 71357
(318) 467-2366
(318) 467-2400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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