Individual
LAURA ANN DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7782
Mailing address
1213 THRUSH LN, WAUKESHA, WI 53189-7733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3438
WI
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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