Individual
ANGELA JEAN ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 467-3721
(423) 467-3644
Mailing address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002078482
VA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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