Individual
DANIELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9586 JAMES ST # B, PHILADELPHIA, PA 19114-3059
(267) 788-1345
Mailing address
9586 JAMES ST # B, PHILADELPHIA, PA 19114-3059
(267) 788-1345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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