Individual
MRS. MARILYN ROSCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12234 RENVILLE ST, LAKEWOOD, CA 90715-1605
(562) 228-6346
Mailing address
12234 RENVILLE ST, LAKEWOOD, CA 90715-1605
(562) 228-6346
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95004493
CA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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