Individual
DIANE MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1007 OBERLIN AVE, LORAIN, OH 44052-1553
(440) 522-4744
Mailing address
1007 OBERLIN AVE, LORAIN, OH 44052-1553
(440) 522-4744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN264890
OH
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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