Individual
ROSA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 SW ARMAND PL, LAKE CITY, FL 32025-2609
(386) 758-8670
Mailing address
1471 SW INDIAN GLN, LAKE CITY, FL 32025-0408
(386) 344-1858
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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