Individual
ROSEBERTHE OPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 MAIN ST APT 429, BRIDGEPORT, CT 06606-4212
(203) 434-4604
Mailing address
2900 MAIN ST APT 429, BRIDGEPORT, CT 06606-4212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
747819
NY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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