Individual
EMILY CHRISTINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W MARQUITA APT 1, SAN CLEMENTE, CA 92672-5179
(949) 485-9762
Mailing address
PO BOX 485, SAN JUAN CAPISTRANO, CA 92693-0485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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