Individual
MS. GYNAH LECIA ROUSE
Active
Individual
MS. GYNAH LECIA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
4703112980
MI
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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