Kristina Marie Rose, LMP Valid NPI
Individual provider · Specialist · Shelton, WA
- NPI
- 1992995559
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- MA22099 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-07-30
- Last updated
- 2007-07-30
Practice location
104 E D St Ste 2
Shelton, WA 98584-2122
(360) 462-2639