Individual
LEAH FAY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8707
Mailing address
106 KINCROFT ST # B, SITKA, AK 99835-9512
(907) 966-8341
(907) 966-8448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23170
AK
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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