Individual
ROSIA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5207 PANAMA AVE, RICHMOND, CA 94804-5449
(510) 833-3722
Mailing address
PO BOX 6291, ALBANY, CA 94706-0291
(833) 726-4247
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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