Individual
DORENE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 YALE PL, PAINESVILLE, OH 44077-5492
(440) 669-5228
Mailing address
1320 YALE PL, PAINESVILLE, OH 44077-5492
(440) 669-5228
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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