Most Relevant Information
Provider Data
| NPI Number: | 1003043498 |
| Provider Name: | PAMELA JEAN ROOSE REGISTERED DIETITIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 725009 |
Most Important Dates
| Enumeration Date: | 06/12/2009 |
| Last Updated: | 06/12/2009 |
Provider Practice Location
580 W COLLEGE AVE
MARQUETTE
MI
498552705
Practice Location Phone/Fax
| Phone: | 9062253221 |
| Fax: |
Provider Mailing Location
580 W COLLEGE AVE
MARQUETTE
MI
498552705
Provider Mailing Phone/Fax
| Phone: | 9062253221 |
| Fax: |