Individual
MISS JACQUELIN B ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1201 BROAD ROCK BOULEVARD, RICHMOND, VA 23249
(804) 675-0242
Mailing address
9632 DELLA DRIVE, RICHMOND, VA 23238-4433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
693728
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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