Most Relevant Information
Provider Data
| NPI Number: | 1003287962 |
| Provider Name: | LARISSA ROSS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 158073 |
Most Important Dates
| Enumeration Date: | 10/16/2015 |
| Last Updated: | 10/16/2015 |
Provider Practice Location
1341 MARKET AVE N
CANTON
OH
447142605
Practice Location Phone/Fax
| Phone: | 3304538252 |
| Fax: |
Provider Mailing Location
1341 MARKET AVE N
CANTON
OH
447142605
Provider Mailing Phone/Fax
| Phone: | 3304538252 |
| Fax: |