Juanita Ireatha Ross
NPI #1104429117 in Beckley, West Virginia
Provider Information
- NPI Number
- 1104429117
- Entity Type
- Individual
- Name
- Juanita Ireatha Ross
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Homemaker
- Enumeration Date
- Nov 20, 2020
- Last Updated
- Nov 20, 2020
Practice Location
- Address
- 1614 S KANAWHA ST
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-6239
- Phone
- (304) 255-1397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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