Individual
SALENA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
2411 CROFTON LN STE 10B, CROFTON, MD 21114-1304
(917) 434-3397
Mailing address
8303 ENCORE DR, GLEN BURNIE, MD 21060-8700
(917) 434-3397
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
AEC-16-003309
NY
Other
Enumeration date
03/02/2020
Last updated
12/08/2025
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