Elicia Ross
NPI #1770198202 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1770198202
- Entity Type
- Individual
- Name
- Elicia Ross
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Sep 11, 2020
- Last Updated
- Sep 11, 2020
Practice Location
- Address
- 1110 CLAY ST
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39183-2912
- Phone
- (601) 738-5820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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