Individual
BRANDI ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 OAK GROVE RD, GOOSE CREEK, SC 29445-4356
(843) 283-0169
Mailing address
54 OAK GROVE RD, GOOSE CREEK, SC 29445-4356
(843) 283-0169
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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