Individual
DONNA L ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 E ABINEAU CANYON DR, FLAGSTAFF, AZ 86004-7168
(928) 635-6750
(928) 438-3300
Mailing address
6005 E ABINEAU CANYON DR, FLAGSTAFF, AZ 86004-7168
(928) 635-6750
(928) 438-3300
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
ALH-P-6374
AZ
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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