Individual
MS. JANE C ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14547 VICTORY BLVD, VAN NUYS, CA 91411-1619
(818) 997-3232
Mailing address
29085 OAK CREEK LN APT 701, AGOURA HILLS, CA 91301-6433
(410) 456-7622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0000595
MD
363AM0700X
Medical Physician Assistant
Primary
64950
CA
Other
Enumeration date
11/17/2006
Last updated
12/09/2024
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