Individual
MR. GABRIEL DAVID ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S HANSON ST, EASTON, MD 21601-2920
(410) 819-5696
Mailing address
100 S HANSON ST, EASTON, MD 21601-2920
(410) 819-5696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851660823
HEALTH DEPARTMENT
—
Enumeration date
12/17/2013
Last updated
12/17/2013
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