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1124475579
LANIESHA TANELL ROSS
LOS ANGELES, CA
NPI
1124475579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA F1418766)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- LANIESHA TANELL ROSS
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
-- LANIESHA TANELL ROSS
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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