Individual
ROSA RODARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
903 NW 13TH ST, OKLAHOMA CITY, OK 73106-6828
(405) 819-8329
Mailing address
7424 SW 118TH ST, OKLAHOMA CITY, OK 73173-8140
(405) 819-8329
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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