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Individual

ROSSIO PALACIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10 BELMONT AVE # 1, GARFIELD, NJ 07026-3210
(201) 562-7017
Mailing address
116-130 BROADWAY, PASSAIC, NJ 07055
(973) 779-2865

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05995500
NJ

Other

Enumeration date
05/02/2023
Last updated
05/22/2023
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