Individual
JONATHAN SALDIVAR ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5331 46TH AVE S, MINNEAPOLIS, MN 55417-2307
(612) 644-7590
Mailing address
5331 46TH AVE S, MINNEAPOLIS, MN 55417-2307
(612) 644-7590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2518470
MN
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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