Individual
MICHELLE T ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 W BROAD ST STE 111, RICHMOND, VA 23230-5008
(804) 516-2004
Mailing address
3300 W BROAD ST STE 111, RICHMOND, VA 23230-5008
(804) 516-2004
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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