Individual
ANTHONY B ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2329 4TH AVE, SEATTLE, WA 98121-1717
(206) 461-3649
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60550866
WA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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