Individual
ROSEANNA MARIE NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
813 DORAL DR, MANSFIELD, TX 76063-6614
(817) 688-8229
Mailing address
813 DORAL DR, MANSFIELD, TX 76063-6614
(817) 688-8229
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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