Individual
ALLISON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 N 3RD ST, APT#307, PHILADELPHIA, PA 19106-1234
(203) 927-8022
Mailing address
231 N 3RD ST, APT#307, PHILADELPHIA, PA 19106-1234
(203) 927-8022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SL011635
PA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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