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Individual

ARIEL ROSARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN, CDCA

Contact information

Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174505
OH
164W00000X
Licensed Practical Nurse
Primary
LPN.169328.MEDS-IV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0426200
OH
Enumeration date
12/09/2020
Last updated
01/26/2021
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