Individual
GLINDA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2212 JUSTICE ST, MONROE, LA 71201-3620
(325) 206-2514
Mailing address
1105 N 3RD ST, MONROE, LA 71201-5247
(325) 206-2514
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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