Individual
ROSE DEROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
892 STILLSON RD, FAIRFIELD, CT 06824-3120
(203) 449-9426
Mailing address
892 STILLSON RD, FAIRFIELD, CT 06824-3120
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008081521
CT DSS
CT
Enumeration date
11/05/2018
Last updated
11/05/2018
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