Individual
ROSE PATIENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23828 HARVEST DR, NOVI, MI 48375-3148
(248) 390-3494
Mailing address
23828 HARVEST DR, NOVI, MI 48375-3148
(248) 390-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704174305
MI
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
01/30/2024
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