Individual
LIS ROSAGER DARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1734 DRY CREEK RD, SAN JOSE, CA 95125-4626
(408) 978-6766
Mailing address
145 WESTGATE ST, REDWOOD CITY, CA 94062-2813
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
351642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RVN000130
—
CA
Enumeration date
06/12/2007
Last updated
07/08/2007
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