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Individual

MS. ISARITZA ROSELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5005 N PIEDRAS ST, ATTN: ANA RODRIGUEZ, EL PASO, TX 79920-5001
(915) 569-1386
Mailing address
7901 BRONZEROCK DR, SAN ANTONIO, TX 78244-3332
(210) 844-0962

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1086074
NCCPA
TX
Enumeration date
01/23/2009
Last updated
01/23/2009
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