Individual
JORGE LUIS ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606-3730
(510) 238-5400
(510) 238-5437
Mailing address
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606-3730
(510) 238-5400
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95139659
CA
Other
Enumeration date
06/23/2018
Last updated
10/02/2018
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