Individual
RICHARD LESTER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
391 BROADWAY, EVERETT, MA 02149-3470
(781) 971-5018
Mailing address
25 BRAINTREE HILL PARK STE 101, BRAINTREE, MA 02184-8715
(781) 971-5019
(781) 817-5821
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN65881
MA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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