Individual
ROSE LATIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 LINCOLN ST, NEWARK, NJ 07103-3833
(201) 496-7188
Mailing address
79 LINCOLN ST, NEWARK, NJ 07103-3833
(201) 496-7188
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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