Individual
MATTHEW ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
US HWY 160 S MP 364.3, KAYENTA, AZ 86033
(928) 697-4139
(928) 697-4142
Mailing address
US HWY 160 S MP 364.3, KAYENTA, AZ 86033
(928) 697-4139
(928) 697-4142
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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