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Individual

YAZMIN ROUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3450 BONITA RD STE 103, CHULA VISTA, CA 91910-3249
(619) 856-4320
Mailing address
3450 BONITA RD STE 103, CHULA VISTA, CA 91910-3249
(619) 856-4320

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
374700263
CA

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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