Individual
JINCY ANNA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
408 S 8TH AVE, BROKEN BOW, NE 68822-2009
(308) 872-2291
(308) 872-3122
Mailing address
PO BOX 506, BROKEN BOW, NE 68822-0506
(308) 872-2291
(308) 872-3122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558
NE
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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