Individual
AMELIA ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 ROMAINE SPRING VW, FENTON, MO 63026-5833
(816) 390-7256
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
MO149611
MO
Other
Enumeration date
02/12/2024
Last updated
02/13/2024
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