JEROME ROSE

TUBA CITY, AZ
NPI1093133092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: AZ  521689)
Enumeration Date2014-04-07
Last Update Date2014-04-07
Business Address
-- JEROME ROSE RT
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- JEROME ROSE RT
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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