Maria Susena Ross
Registered Nurse, School in Gustine, CA. Individual provider (NPI-1).
NPI number1174155485
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1174155485
- Entity type
- Individual (NPI-1)
- Name
- Maria Susena Ross
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2020
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 95096064 | CA | Yes |
Practice location
1500 Meredith AveGustine, CA 95322-1701
Phone 209-600-2102
Mailing address
1500 Meredith AveGustine, CA 95322-1701
Phone 209-600-2102
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