Individual
MR. FERNANDER ROSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
548 MYRTLE PL, SOUTH DAYTONA, FL 32119-3330
(386) 453-9651
Mailing address
548 MYRTLE PL, SOUTH DAYTONA, FL 32119-3330
(386) 453-9651
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA175018
FL
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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