NPI 1063158798

Leticia Marie Ross-Glass

Practitioner Driver Memphis, TN

Practice location

Address: 3540 Summer Ave STE 320, Memphis, TN 38122-3600
Phone: (901) 623-6220

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1063158798
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2022
Record last updated: 6 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.