Individual
JANEEN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 528-1000
Mailing address
33476 SOMERSET RD, YUCAIPA, CA 92399-3440
(909) 790-4132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AWAITING BOARDS
CA
Other
Enumeration date
12/21/2007
Last updated
01/09/2015
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