Individual
VERA ANN ROSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 WOODBRIAR CIR, TUCKER, GA 30084-5810
(678) 951-6281
Mailing address
3595 WOODBRIAR CIR, TUCKER, GA 30084-5810
(678) 951-6281
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-2425322
NONE
GA
Enumeration date
05/11/2015
Last updated
05/11/2015
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