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Individual
RENEE ELAINE ROSE-LYNVILLE
Active
Individual
RENEE ELAINE ROSE-LYNVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03042343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03042343
CERTIFIED SPECIALIST
CA
Enumeration date
05/16/2013
Last updated
05/16/2013
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