Individual
JUAN DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7195
Mailing address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7195
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
09/18/2023
Last updated
04/02/2025
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