Individual
ROSE FIRDOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 NORTHUMBERLAND ST # 1, WHITE HAVEN, PA 18661-1524
(570) 301-9879
Mailing address
201 NORTHUMBERLAND ST # 1, WHITE HAVEN, PA 18661-1524
(570) 301-9879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG008632
PA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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