Latesha Ross

NPI #1720457732 in Indio, California

Provider Information

NPI Number: 1720457732
Entity Type: Individual
Name: Latesha Ross
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 20, 2015
Last Updated: Sep 20, 2015

Practice Location

Address: 47915 OASIS ST
City: Indio
State: California
ZIP Code: 92201-6950
Phone: (760) 863-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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