Individual
VINETA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6245 DE LONGPRE AVE, LOS ANGELES, CA 90028-8253
(323) 462-2271
Mailing address
6619 LELAND WAY APT 108, LOS ANGELES, CA 90028-7892
(310) 889-5616
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95027447
CA
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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