Individual
RONALDO ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 292-1306
(207) 781-1985
Mailing address
200 ROUTE 108, SOMERSWORTH, NH 03878-1119
(603) 953-0077
(603) 953-0078
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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