Individual provider · NPI-1
Aldria Rose, RBT
Technician, Other · Round Rock, TX
NPI number1922872845
StatusActive
Last updated in NPPESNov 10, 2023
Details
- NPI
- 1922872845
- Entity type
- Individual (NPI-1)
- Name
- Aldria Rose
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2023
- Certification date
- Nov 10, 2023
- Last updated
- Nov 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | TX | Yes |
Practice location
1510 Greenlawn BlvdRound Rock, TX 78664-7072
Phone 512-334-9216
Mailing address
1510 Greenlawn BlvdRound Rock, TX 78664-7072
Phone 512-334-9216
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