Most Relevant Information
Provider Data
| NPI Number: | 1003471566 |
| Provider Name: | ROSETTA HART |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2019 |
| Last Updated: | 05/09/2019 |
Provider Practice Location
3600 B ST SE APT 302
WASHINGTON
DC
200197326
Practice Location Phone/Fax
| Phone: | 2022769797 |
| Fax: |
Provider Mailing Location
4929 WINTHROP ST
OXON HILL
MD
207452667
Provider Mailing Phone/Fax
| Phone: | 2405934055 |
| Fax: |