Individual
CARRIE ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 WAIMANO HOME RD, PEARL CITY, HI 96782-1478
(808) 454-1411
Mailing address
231 LEHUA ST, #C-8, WAHIAWA, HI 96786-2066
(808) 397-0913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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