Individual
MS. DANIELLE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1701 MISSION AVE STE A, OCEANSIDE, CA 92058-7102
(760) 967-4475
Mailing address
PO BOX 15861, SAN DIEGO, CA 92175-5861
(619) 674-6142
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222059
CA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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