Individual
ASHLEY RENAE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3569 MARSH WREN ST, LAKELAND, FL 33811-1331
(304) 952-8879
Mailing address
3569 MARSH WREN ST, LAKELAND, FL 33811-1331
(304) 952-8879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
95374
FL
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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