Individual
SHARLA ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9106 WASHBURN RD, GOODRICH, MI 48438-9744
(248) 672-7590
Mailing address
9106 WASHBURN RD, GOODRICH, MI 48438-9744
(248) 672-7590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703062680
MI
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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