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Individual

ROSA VINES

Active
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Individual

ROSA VINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
322212421103
OH
376K00000X
Nurse's Aide
50175752
KY
376K00000X
Nurse's Aide
CNA14178582
GA
376K00000X
Nurse's Aide
Primary
CNA147782
FL

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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