Individual
TEISHA ST. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 W PERIMETER RD, ANDREWS AIR FORCE BASE, MD 20762-6601
(240) 857-5911
Mailing address
13842 REMBRANDT WAY, CHANTILLY, VA 20151-3255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171634
VA
367500000X
Certified Registered Nurse Anesthetist
RN.328985
OH
Other
Enumeration date
12/09/2013
Last updated
08/18/2021
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