Individual
TED D ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
409 COFFEE RD, MODESTO, CA 95355-4915
(209) 527-5346
(209) 527-0124
Mailing address
409 COFFEE RD, MODESTO, CA 95355-4915
(209) 527-5346
(209) 527-0124
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
DC014744
CA
Other
Enumeration date
04/25/2006
Last updated
01/07/2008
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