Individual
KESSIAH SERENA ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 5TH ST STE 5, WHITE BEAR LAKE, MN 55110-3039
(833) 946-4436
Mailing address
1058 FAWNRIDGE DR, NEWFOUNDLAND, PA 18445-7736
(610) 390-7563
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP031319
PA
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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