SearchLouisiana343900000X

Dejuan Ross

NPI 1265041974 · on the registry since 2020 · sole proprietor

Practice

Address
12325 Catalina Ave
Baton Rouge, LA 70814
Phone
(225) 802-0865

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana