Individual
CENNEDI ROSE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 28TH AVE SW STE 2, ALTOONA, IA 50009-3940
(515) 446-2075
Mailing address
225 PRAIRIE VIEW DR APT 6102, WEST DES MOINES, IA 50266-7124
(515) 577-5604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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