Individual
SUSAN MARIE ROSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 12TH AVE, TWO HARBORS, MN 55616-1219
(218) 969-6183
(218) 969-6183
Mailing address
713 12TH AVE, TWO HARBORS, MN 55616-1219
(218) 969-6183
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
10827825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10827825
NURSING ASSISTANT CERTIFICATE
MN
Enumeration date
06/29/2020
Last updated
01/09/2021
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