Individual
KEOSHA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14431 W DAVID DR APT B, HAMMOND, LA 70401-1202
(504) 296-9865
Mailing address
14431 W DAVID DR APT B, HAMMOND, LA 70401-1202
(504) 296-9865
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
LA
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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