Individual
NICOLE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11837 SANDLAKE DR, BOCA RATON, FL 33428-2512
(813) 494-7519
Mailing address
11837 SANDLAKE DR, BOCA RATON, FL 33428-2512
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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