Individual
ROSALINDA MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 8TH ST NW, ROCHESTER, MN 55901-6518
(501) 601-9083
Mailing address
4702 8TH ST NW, ROCHESTER, MN 55901-6518
(507) 601-9083
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02809431
—
MN
Enumeration date
10/06/2021
Last updated
10/06/2021
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