Individual
ERICA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 HENLEY DEEMER RD, MC DERMOTT, OH 45652-9055
(740) 259-4898
Mailing address
4208 HENLEY DEEMER RD, MC DERMOTT, OH 45652-9055
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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