Individual
JASMYN ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 BROADWAY, NEWARK, NJ 07104-7400
(252) 368-9379
Mailing address
3321 BRUCKNER BLVD APT 6L, BRONX, NY 10461-5637
(646) 644-0162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
09/28/2018
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