Individual
ANNA LISSA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5810 EL CAMINO REAL STE A, CARLSBAD, CA 92008-8819
(760) 929-8269
Mailing address
5810 EL CAMINO REAL STE A, CARLSBAD, CA 92008-8819
(760) 929-8269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA22269
PA LICENSE NUMBER
CA
Enumeration date
01/22/2009
Last updated
03/10/2021
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