Individual
MISS JENNIFER LYNN ROSICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
TL478
WY
363AM0700X
Medical Physician Assistant
Primary
TL478
WY
Other
Enumeration date
08/05/2009
Last updated
07/26/2021
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