Provider Demographics
NPI:1376297309
Name:ARREY, ROSALINE EBANGHA
Entity Type:Individual
Prefix:MRS
First Name:ROSALINE
Middle Name:EBANGHA
Last Name:ARREY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NEW MEISTER LN APT 124
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5871
Mailing Address - Country:US
Mailing Address - Phone:512-888-5531
Mailing Address - Fax:
Practice Address - Street 1:901 NEW MEISTER LN APT 124
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-5871
Practice Address - Country:US
Practice Address - Phone:512-888-5531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider