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Individual
ROSE M SUN
Active
Individual
ROSE M SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
543444
CA
363L00000X
Nurse Practitioner
Primary
20872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20872
STATE BOARD OF RN
CA
01
—
543444
STATE BOARD OF RN
CA
Enumeration date
10/11/2007
Last updated
02/21/2018
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