Individual
JACINTA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95250615
CA
Other
Enumeration date
11/06/2006
Last updated
01/18/2024
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