Individual
MRS. JEAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6520 JAYCOX RD, GALENA, OH 43021-9530
(614) 395-4682
Mailing address
6520 JAYCOX RD, GALENA, OH 43021-9530
(614) 395-4682
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2527742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527742
—
OH
Enumeration date
05/01/2007
Last updated
07/09/2007
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