Individual
HOLLY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MONTESSORI PL, RENSSELAER, NY 12144-9509
(518) 421-9901
Mailing address
40 STOCK LN, RENSSELAER, NY 12144-9628
(518) 421-9901
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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