Individual
MRS. ROBERTA JEAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
2824 LARAMIE RD, RIVERSIDE, CA 92506-3311
(951) 682-5412
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
377165
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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