Individual
ROSE ISMAELITE ST JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W BLUE HERON BLVD, RIVIERA BEACH, FL 33404-5003
(561) 841-3500
Mailing address
1521 STONEHAVEN DR APT 1, BOYNTON BEACH, FL 33436-6714
(561) 932-3770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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