KHADEJA ROSS

GRAND PRAIRIE, TX
NPI1639645112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  f10181274)
Enumeration Date2018-10-22
Last Update Date2019-08-14
Business Address
KHADEJA ROSS
1032 VALLEY BROOK LN
GRAND PRAIRIE, TX 75052-8841
Phone number: 443-366-2683
Mailing Address
KHADEJA ROSS
1032 VALLEY BROOK LN
GRAND PRAIRIE, TX 75052-8841
Phone number: 443-366-2683
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