Individual
ALTRESSA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 CRIMSON PASS, GRANITEVILLE, SC 29829
(706) 284-8804
Mailing address
526 BLUM ST, AUGUSTA, GA 30901-3006
(706) 284-8804
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0028870494
GA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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