Individual
ROSA GENEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BUILDING 170, FORT IRWIN, CA 92310
(760) 380-5031
Mailing address
BUILDING 170, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
715939
CA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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