Individual
MARIA ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6803 MONARCH PARK DR, APOLLO BEACH, FL 33572-8109
(617) 721-4825
Mailing address
6803 MONARCH PARK DR, APOLLO BEACH, FL 33572-8109
(617) 721-4825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
217122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217122
—
MA
Enumeration date
01/13/2016
Last updated
01/13/2016
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