| Rose Ryan Llc | |
|
404 Kiersen Ln Jonesboro AR 72401-8794 | |
| (870) 602-6262 | |
| Not Available |
| Full Name | Rose Ryan Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 404 Kiersen Ln, Jonesboro, Arkansas |
| Authorized Official Name and Position | Lajoya Derayeia Mcdonald (OWNER) |
| Authorized Official Contact | 8706046262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Ryan Llc 404 Kiersen Ln Jonesboro AR 72401-8794 Ph: (870) 602-6262 | Rose Ryan Llc 404 Kiersen Ln Jonesboro AR 72401-8794 Ph: (870) 602-6262 |
| NPI Number | 1821672668 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/07/2021 |
| Certification Date | 05/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821672668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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