Individual
MS. BETHANY MICHELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSR, LD
Contact information
Practice address
5721 BIGGER RD, DAYTON, OH 45440-2752
(270) 723-2930
Mailing address
2529 VALAIS CT, DAYTON, OH 45458-5408
(270) 723-2930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
264496
KY
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD.10377
OH
Other
Enumeration date
09/25/2020
Last updated
03/07/2025
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