Individual
BEEBE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 FIELDSTREAM CT, LUTHERVILLE, MD 21093-4736
(443) 797-7459
Mailing address
16 FIELDSTREAM CT, LUTHERVILLE, MD 21093-4736
(443) 797-7459
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/17/2020
Last updated
07/13/2021
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