Individual
JUAN ROSEBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3001 BLADENSBURG RD NE APT 919, WASHINGTON, DC 20018-2238
(202) 776-8825
Mailing address
3001 BLADENSBURG RD NE APT 919, WASHINGTON, DC 20018-2238
(202) 766-8825
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4171415
—
DC
Enumeration date
08/29/2022
Last updated
08/29/2022
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