Individual
DAISY ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 N 23RD ST, COPPERAS COVE, TX 76522-1212
(413) 218-6102
Mailing address
903 N 23RD ST, COPPERAS COVE, TX 76522-1212
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
5236712
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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