Individual
MELISSA LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
PCN, 1960 THOMPSON DR, SEDRO WOOLEY, WA 98284
(360) 856-3186
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60258252
WA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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