Individual
SANDRA ROUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, HWNC-BC
Contact information
Practice address
125 OAK ST, TENAFLY, NJ 07670-3013
(201) 871-8375
Mailing address
125 OAK ST, TENAFLY, NJ 07670-3013
(201) 871-8375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR08042000
NJ
163W00000X
Registered Nurse
8009356
NY
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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