Individual
ROSELORE REGILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 PASSAIC AVE, LINDEN, NJ 07036-2058
(908) 659-8745
Mailing address
1143 PASSAIC AVE, LINDEN, NJ 07036-2058
(908) 659-8745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296886
NY
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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