Individual
MICKEY ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 792-4133
Mailing address
609 N KLEVIN ST APT 2, ANCHORAGE, AK 99508-1496
(562) 631-1032
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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