Individual
ROSE MARY MARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
264 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-4121
Mailing address
10 BEACH RD, PORT JERVIS, NY 12771-1307
(845) 978-5585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
690175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139688863
—
PA
Enumeration date
03/08/2021
Last updated
03/08/2021
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