Provider Demographics
NPI:1942079082
Name:ROSARIO, SANDRA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:ROSARIO
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 1:133 SPRING MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON BORO
Mailing Address - State:PA
Mailing Address - Zip Code:17582-9735
Mailing Address - Country:US
Mailing Address - Phone:717-629-0098
Mailing Address - Fax:
Practice Address - Street 1:133 SPRING MEADOW LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON BORO
Practice Address - State:PA
Practice Address - Zip Code:17582-9735
Practice Address - Country:US
Practice Address - Phone:717-629-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula