Individual
ISABELLA ALEXIS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 GREENBRIER RD, MOBERLY, MO 65270-3204
(660) 676-6164
Mailing address
618 GREENBRIER RD, MOBERLY, MO 65270-3204
(660) 676-6164
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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