Individual
ROSITA MEDIANERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 MAPLE ST, SPRINGFIELD, MA 01103-2202
(413) 246-3246
Mailing address
130 MAPLE ST, SPRINGFIELD, MA 01103-2202
(413) 737-9544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2333247
MA
Other
Enumeration date
09/10/2020
Last updated
12/16/2020
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