Individual
JOCABED FERNANDA ROSALES PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1969 GOLDEN PALM CIR, TAVARES, FL 32778-4334
(786) 599-3118
Mailing address
1969 GOLDEN PALM CIR, TAVARES, FL 32778-4334
(786) 599-3118
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-135
WI
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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