Individual
MS. MARY FRANCES ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
41641 N RIDGE RD STE B, ELYRIA, OH 44035-1264
(440) 324-7406
Mailing address
533 BERLIN RD APT K, HURON, OH 44839-1956
(419) 677-9834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
164X00000X
Licensed Vocational Nurse
Primary
LPN.165630.MEDS-IV
OH
Other
Enumeration date
09/07/2017
Last updated
10/10/2017
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