Individual
REBECCA LYNNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
231 MCMANUS RD, NEW HAMPTON, NY 10958-3510
(505) 514-3532
Mailing address
215 8TH ST SW, ALBUQUERQUE, NM 87102-3003
(505) 254-7615
(505) 242-6445
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-316346
—
175M00000X
Lay Midwife
09055R
NM
Other
Enumeration date
07/16/2009
Last updated
01/08/2025
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