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Individual

MS. TONYA LYNN ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM, EMT

Contact information

Practice address
1002 AVENUE A, KATY, TX 77493-2462
(832) 489-5229
Mailing address
16122 LAKEVIEW DR, JERSEY VILLAGE, TX 77040-2026
(832) 489-5229

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
741459
TX
176B00000X
Midwife
Primary
99430
TX

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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