MRS. Jacqueline Diane Ross, ATC
NPI #1033533922 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1033533922
- Entity Type
- Individual
- Name
- MRS. Jacqueline Diane Ross, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 12, 2014
- Last Updated
- Feb 12, 2014
Practice Location
- Address
- 12509 PLEASANT FOREST DR
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72212-2214
- Phone
- (479) 200-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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