Individual
ERIN L ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
510 NW LARRY ST, PULLMAN, WA 99163-3584
(509) 332-1551
Mailing address
512 BRITTON LN, MOSCOW, ID 83843-8801
(209) 418-9543
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160976844
WA
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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