Laurel D Ross, MNT

NPI #1760574958 in Randolph, Vermont

Provider Information

NPI Number: 1760574958
Entity Type: Individual
Name: Laurel D Ross, MNT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietary Manager
Credential: MNT
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 44 S MAIN ST
City: Randolph
State: Vermont
ZIP Code: 05060-1381
Phone: (802) 728-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietary Manager	132700000X	Primary

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