Individual
MR. NATHAN ROSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2668 HUALAPAI MOUNTAIN RD, KINGMAN, AZ 86401-8387
(928) 830-5598
Mailing address
854 PALA MESA DR, KINGMAN, AZ 86409-3922
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150014579
IL
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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