Individual
LAUREN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 FRASCO WAY, SANTA FE, NM 87508
(505) 466-0244
Mailing address
9 FRASCO WAY, SANTA FE, NM 87508
(505) 466-0244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2076
NM
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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