Individual
MISHELLE LA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA, CPT
Contact information
Practice address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(240) 413-3952
(240) 595-6728
Mailing address
5000 THAYER CTR STE C, OAKLAND, MD 21550-1139
(240) 413-3952
(240) 595-6728
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
01
MD
Other
Enumeration date
10/28/2024
Last updated
05/14/2025
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