Individual
JULIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 LUPTON RD, LUPTON, MI 48635-9709
(989) 473-2917
Mailing address
3811 LUPTON RD, LUPTON, MI 48635-9709
(989) 473-2917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704299975
MI
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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