Individual
JULIA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10774 WILDWOOD DR, RANCHO CUCAMONGA, CA 91730-6367
(909) 225-3281
Mailing address
10774 WILDWOOD DR, RANCHO CUCAMONGA, CA 91730-6367
(909) 225-3281
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
263023
CA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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