Individual
ROSE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 S POLK ST APT 2022, DESOTO, TX 75115-7645
(504) 430-9144
Mailing address
821 S POLK ST APT 2022, DESOTO, TX 75115-7645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
669044
TX
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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