Individual
JEANETTE ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E MCDOWELL RD STE 202, PHOENIX, AZ 85006-2665
(602) 314-6722
Mailing address
1721 E BEVERLY LN, PHOENIX, AZ 85022-2889
(602) 451-6325
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
NY
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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