ROSA VINES

JACKSONVILLE, FL
NPI1083075220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: FL  CNA147782)
Additional Taxonomies376K00000X Nurse's Aide
(Licence: KY  50175752)
376K00000X Nurse's Aide
(Licence: OH  322212421103)
376K00000X Nurse's Aide
(Licence: GA  CNA14178582)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- ROSA VINES
900 BERT RD APT F134
JACKSONVILLE, FL 32211
Phone number: 912-631-0158
Mailing Address
-- ROSA VINES
900 BERT RD APT F134
JACKSONVILLE, FL 32211-5963
Phone number: 912-631-0158