Individual
KARLI ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
700 N 54TH ST, CHANDLER, AZ 85226-1502
(480) 824-5511
Mailing address
1601 E BARBARITA AVE, GILBERT, AZ 85234-8126
(480) 276-8560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HAD5539
AZ
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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