Provider Demographics
NPI:1508380882
Name:ROSEMOND, TELINA ENDIA
Entity Type:Individual
Prefix:
First Name:TELINA
Middle Name:ENDIA
Last Name:ROSEMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9808 SPINNAKER ST
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-1350
Mailing Address - Country:US
Mailing Address - Phone:240-393-7886
Mailing Address - Fax:
Practice Address - Street 1:9808 SPINNAKER ST
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:MD
Practice Address - Zip Code:20623-1350
Practice Address - Country:US
Practice Address - Phone:240-393-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant