Individual
DANIEL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 W ADAMS AVE APT 122, TEMPLE, TX 76504-3504
(254) 421-6390
Mailing address
4101 W ADAMS AVE APT 122, TEMPLE, TX 76504-3504
(254) 421-6390
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
314479
TX
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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