Individual
ROSE W GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00728916
MEDICARE RAILROAD
MN
Enumeration date
07/24/2008
Last updated
08/31/2009
Update your record
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