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Individual

JOHNDA MICHELLE ROSEBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
102 WASHINGTON ST, SOUTH POINT, OH 45680-9655
(740) 442-3352
Mailing address
141 ZOAR HILL RD, COAL GROVE, OH 45638-3066
(740) 764-3259

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
61847
WV
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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