Individual
CARLA M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6651 FRANK AVE NW, NORTH CANTON, OH 44720
(330) 498-9865
(330) 498-9869
Mailing address
6651 FRANK AVE NW, NORTH CANTON, OH 44720-8442
(330) 498-9865
(330) 498-9869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003603
OH
Other
Enumeration date
12/06/2012
Last updated
11/09/2016
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