Individual
DEBORAH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HWT
Contact information
Practice address
213 CAMILLA LN, GARLAND, TX 75040-4647
(972) 485-4748
(972) 272-1904
Mailing address
213 CAMILLA, GARLAND, TX 75040
(972) 485-4748
(972) 272-1904
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
T092109
TX
Other
Enumeration date
08/13/2012
Last updated
10/24/2012
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