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Individual

DR. CAMILLA ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
3650 JOSEPH SIEWICK DR STE 203, FAIRFAX, VA 22033-1712
(703) 391-1500
Mailing address
505 PAGE DR, GOODLETTSVILLE, TN 37072-3438
(615) 598-2460

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
367A00000X
Advanced Practice Midwife
29067
TN

Other

Enumeration date
05/19/2019
Last updated
06/17/2021
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