Individual
ROSA KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7411 MILL CREEK RD, WALLA WALLA, WA 99362-8490
(509) 876-9311
Mailing address
7411 MILL CREEK RD, WALLA WALLA, WA 99362-8490
(509) 876-9311
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3747A0650X
—
WA
Enumeration date
09/14/2020
Last updated
09/14/2020
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