KEYANNA ROUSSEAU

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1356018642

Practice Address

3936 OGBURN AVE
Winston Salem, NC 27105

Phone: (336) 989-6235

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1356018642 is the National Provider Identifier for KEYANNA ROUSSEAU, a Student in an Organized Health Care Education/Training Program provider located in Winston Salem, NC. This NPI was enumerated on August 25, 2021.
KEYANNA ROUSSEAU practices at 3936 OGBURN AVE, Winston Salem, NC 27105.

Quick Facts

NPI
1356018642
Type
Individual
Enumerated
Aug 25, 2021
Last Updated
Aug 25, 2021

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