Individual
ROSEMARIE SAN DIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
377 JERSEY AVE, SUITE 310, JERSEY CITY, NJ 07302-4393
(201) 706-2091
(201) 706-2092
Mailing address
46 W 26TH ST, BAYONNE, NJ 07002-3803
(201) 436-1494
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06225400
NJ
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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