Most Relevant Information
Provider Data
| NPI Number: | 1003260845 |
| Provider Name: | TIM ROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCS20247 |
Most Important Dates
| Enumeration Date: | 04/18/2016 |
| Last Updated: | 04/18/2016 |
Provider Practice Location
710 BELLA VISTA DR
MORRO BAY
CA
934422417
Practice Location Phone/Fax
| Phone: | 8054585601 |
| Fax: |
Provider Mailing Location
710 BELLA VISTA DR
MORRO BAY
CA
934422417
Provider Mailing Phone/Fax
| Phone: | 8054585601 |
| Fax: |