Individual
CHAMMY ROSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 HOTEL CIR N, SAN DIEGO, CA 92108-2807
(619) 759-1548
Mailing address
1660 HOTEL CIR N STE 314, SAN DIEGO, CA 92108-2803
(619) 759-1548
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
12/18/2023
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