Mariam Ross's National Provider Identifier (NPI) Details
Mariam Ross, LW60276157
NPI: 1962555656
Enumeration Date: 2007-01-18
Last updated: 2014-07-01
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 3603, SEATTLE, WA
Phone: 360-341-5252
Primary Practice Address: 11245 STATE ROUTE 525, CLINTON, WA
Practice's phone: 360-341-5252