Individual
ALISA ROSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
14 BEAULAH CT, BUNKER HILL, WV 25413-1504
(203) 927-8935
Mailing address
14 BEAULAH CT, BUNKER HILL, WV 25413-1504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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