Individual
CAROLYN LOUISE PORTER-ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9990 COUNTY FARM RD STE 6, RIVERSIDE, CA 92503-3542
(951) 358-7380
Mailing address
9990 COUNTY FARM RD STE 6, RIVERSIDE, CA 92503-3542
(951) 358-7380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
290227
NY
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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