Individual
DOROTHY MASAE ROSERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
4406
Contact information
Practice address
1421 MANHATTAN AVE, FULLERTON, CA 92831-5221
(818) 489-4785
Mailing address
1421 MANHATTAN AVE, FULLERTON, CA 92831-5221
(714) 300-6144
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
4406
CA
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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