Individual
TOMMIE M ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
(970) 888-3175
Mailing address
3400 W 16TH ST STE P, GREELEY, CO 80634-6871
(970) 978-4386
(970) 888-3175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0043191
CO
164X00000X
Licensed Vocational Nurse
PN0043191
CO
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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