Individual
CHARLETTE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P. L.AC
Contact information
Practice address
8060 165TH AVE NE, REDMOND, WA 98052-3981
(206) 753-7430
Mailing address
8060 165TH AVE NE, REDMOND, WA 98052-3981
(206) 753-7430
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00001878
WA
174400000X
Specialist
MA00010790
WA
Other
Enumeration date
07/30/2013
Last updated
01/20/2016
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