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Individual
ROSEANNA KATHERINE LACAS
Active
Individual
ROSEANNA KATHERINE LACAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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