Wanda Rose

NPI #1326363821 in Beattyville, Kentucky

Provider Information

NPI Number: 1326363821
Entity Type: Individual
Name: Wanda Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 29, 2010
Last Updated: Mar 29, 2010

Practice Location

Address: 15 BEECH LN
City: Beattyville
State: Kentucky
ZIP Code: 41311-9142
Phone: (606) 464-9790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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