Individual
SHAWNA RAELYN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-3124
(606) 679-1815
(606) 451-1631
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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