Individual
DANIELLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S INDIANA AVE, BLOOMINGTON, IN 47405-7000
(812) 855-4848
Mailing address
PO BOX 6366, VISALIA, CA 93290-6366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
07/12/2019
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