Individual
JALINE VIVIAN DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5 TAMPA GENERAL CIR STE 610, TAMPA, FL 33606-3659
(813) 315-4327
Mailing address
3203 W TACON ST APT A, TAMPA, FL 33629-8063
(321) 240-0972
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2487
FL
Other
Enumeration date
07/01/2021
Last updated
09/21/2021
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