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Individual

MICHELLE ROSARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, MHDN

Contact information

Practice address
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8805
(928) 729-8198
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
(928) 729-8805
(928) 729-8198

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1013817

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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