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NPI Code Detail

MEDICARE: MS. IVA VANESSA ROSS

MEDICARE:  MS. IVA VANESSA ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225C00000XRehabilitation Counselor

General Provider Information

NPI Number : 1053741363
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IVA VANESSA ROSS
Provider Business Mailing Address
First Line : 6093 ORANGE HILL DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-0603
Country : US
Telephone Number : 702-374-3320
Fax Number :
Provider Business Practice Location Address
First Line : 6093 ORANGE HILL DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89142-0603
Country : US
Telephone Number : 702-374-3320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2013
Last Update Date : 11/22/2013

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Directions to “ MS. IVA VANESSA ROSS ” Practice Location

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