Individual
MS. ROSE-THERESE N REBUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
325 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19106-2614
(267) 322-7700
Mailing address
1101 SOUTH ST, UNIT B, PHILADELPHIA, PA 19147-1956
(201) 394-5502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN624686
PA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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