Individual
CATHERINE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 PAUL MILLER LN NW, BEMIDJI, MN 56601-5891
(218) 755-9397
(218) 326-4714
Mailing address
311 PAUL MILLER LN NW, BEMIDJI, MN 56601-5891
(218) 755-9397
(218) 326-4714
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1038060-1-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063458100
—
MN
Enumeration date
10/02/2008
Last updated
10/02/2008
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