person
Keyanna Tiarra Rousseau
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1356018642

Keyanna Tiarra Rousseau is a Student in an Organized Health Care Education/Training Program based in Winston Salem, NC. Keyanna Tiarra Rousseau practices in Winston Salem, NC. The NPI Number for Keyanna Tiarra Rousseau is 1356018642 and holds a License No. (North Carolina).

The current practice location address for Keyanna Tiarra Rousseau is 3936 Ogburn Ave, Winston Salem, NC and can be reached out via phone at 336-989-6235.

Location: 3936 Ogburn Ave, Winston Salem, NC, 27105-3758
person
Provider Profile Details
NPI Number
1356018642
Provider Name
Keyanna Tiarra Rousseau
Credential
Provider Entity Type
Individual
Gender
Female
Address
3936 Ogburn Ave, Winston Salem, NC, 27105-3758
Phone Number
336-989-6235
Fax Number
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3936 Ogburn Ave
City
State
Zip
27105-3758
Phone Number
336-989-6235
Fax Number
person
Provider Business Mailing Address Details
Address
3936 Ogburn Ave
City
State
Zip
27105-3758
Phone Number
336-989-6235
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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