Individual
OMAR ROUSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NEMT TRANSPORTER
Contact information
Practice address
6 ROYAL CREST DR APT 3, NASHUA, NH 03060-5407
(401) 999-5666
(603) 402-9675
Mailing address
6 ROYAL CREST DR APT 3, NASHUA, NH 03060-5407
(401) 999-5666
(603) 402-9675
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
788753
NH
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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