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NPI Profile for MARINA B ROSS in LADY LAKE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Family |
364SP0810X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1669936258 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/28/2019 | |
| Last updated | 01/28/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARINA B ROSS
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MARINA B ROSS