Provider Demographics
NPI:1861641185
Name:JAMES, ROSETTA (LVN)
Entity Type:Individual
Prefix:MS
First Name:ROSETTA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12034 DUANE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2910
Mailing Address - Country:US
Mailing Address - Phone:713-734-8370
Mailing Address - Fax:713-734-8370
Practice Address - Street 1:12034 DUANE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2910
Practice Address - Country:US
Practice Address - Phone:713-734-8370
Practice Address - Fax:713-734-8370
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100189164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse