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Individual

ROSAILY FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
336 S JONES BLVD STE B, LAS VEGAS, NV 89107-2623
(702) 953-7910
Mailing address
336 S JONES BLVD STE B, LAS VEGAS, NV 89107-2623
(702) 953-7910

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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