Individual
KRYSTAL ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4899 WESTBANK EXPY, MARRERO, LA 70072-3037
(877) 418-2978
(866) 500-2186
Mailing address
724 ESTALOTE AVE, HARVEY, LA 70058-4022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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