Individual
QUANTRAE ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 382-7230
(863) 382-3245
Mailing address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 386-6040
(863) 385-3245
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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