Individual
MRS. MARY TERESA ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2409 HYDE PARK RD, JEFFERSON CITY, MO 65109-4732
(609) 680-1416
Mailing address
2919 STATE ROAD AA, HOLTS SUMMIT, MO 65043-1208
(609) 680-1416
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024010673
MO
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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