Ross, Wytina Shavonne

Ross, Wytina Shavonne is an sole proprietor health care provider with primary practice located at 3925 N Duke St Suite102, Durham NC 27704-1780. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ross, Wytina Shavonne can be contacted via phone (919) 479-9050.

Contact Information

Primary practice address
3925 N Duke St Suite102 Durham NC 27704-1780
Phone: (919) 479-9050
Fax: (919) 479-9055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1982845913
LBN Legal business name Ross, Wytina Shavonne
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2009
Last updated Mar 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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