Individual
ROSEMINA SOUVENIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 PAERDEGAT 12TH ST, BROOKLYN, NY 11236-4120
(646) 824-6069
Mailing address
28 PAERDEGAT 12TH ST, BROOKLYN, NY 11236-4120
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
721234-1
NY
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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