Individual
ROSE NNAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14922 HAVENRIDGE DR, HOUSTON, TX 77083-5662
(832) 885-5654
(281) 741-2577
Mailing address
14922 HAVENRIDGE DR, HOUSTON, TX 77083-5662
(832) 607-5664
(281) 741-2577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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