Individual
MS. PATRICIA LYNN ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA MS RD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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