Individual
CHARLES ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 HONAKER AVE, PRINCETON, WV 24740-2640
(304) 961-0327
Mailing address
1605 HONAKER AVE, PRINCETON, WV 24740-2640
(304) 961-0327
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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