Individual
SUSAN MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR STE 232, SAINT LOUIS, MO 63146-3209
(314) 436-1177
Mailing address
1214 WOODCHASE LN APT E, CHESTERFIELD, MO 63017-9718
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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