Individual
GINA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 W NC HIGHWAY 54, DURHAM, NC 27707-5577
(919) 370-2054
Mailing address
2337 GLENDALE AVE, DURHAM, NC 27704-4167
(919) 928-6219
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-136032
NC
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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