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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEOSHA ROSE

Active Sole Proprietor

KEOSHA ROSE is a Community Health Worker healthcare provider located in HAMMOND, Louisiana. NPI 1710551270 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · HAMMOND, LA

Registration Details

NPI Number
1710551270
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2021 (5.2825290541425 yrs)
Last Updated
May 18, 2021
Sole Proprietor
Yes

Practice Information

Address
14431 W DAVID DR APT B
HAMMOND, LA, 704011202
Browse LA providers · Browse ZIP 70401
Phone
5042969865
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in HAMMOND, LA

Name Credential NPI
MRS. RAYCHELLE LANDRY GRIMES LOTR 1285892273
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.