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NPI Code Detail

MEDICARE: JALEN ROSE

MEDICARE:   JALEN  ROSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemakerOH

General Provider Information

NPI Number : 1306691480
Entity Type Code : Individual
Provider Name (Legal Business Name) : JALEN ROSE
Provider Business Mailing Address
First Line : 1539 ELIZABETH PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-5622
Country : US
Telephone Number : 513-254-5052
Fax Number :
Provider Business Practice Location Address
First Line : 1539 ELIZABETH PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-5622
Country : US
Telephone Number : 513-254-5052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 04/22/2024

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Directions to “ JALEN ROSE ” Practice Location

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