Individual
CLARETHA ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 WHITE CEDAR LN, NORTH CHESTERFIELD, VA 23235-5449
(804) 690-8177
(804) 745-7183
Mailing address
1611 WHITE CEDAR LN, NORTH CHESTERFIELD, VA 23235-5449
(804) 690-8177
(804) 745-7183
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1324871
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
717M00000X
CASE MANAGEMENT - CARE COORDINATOR
VA
Enumeration date
02/27/2016
Last updated
02/27/2016
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