Individual
ROSA ELMA QUIAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9559 LAZY SADDLE WAY, ELK GROVE, CA 95624-6001
(916) 829-4117
(916) 829-4117
Mailing address
9559 LAZY SADDLE WAY, ELK GROVE, CA 95624-6001
(916) 829-4117
(916) 829-4117
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
6015825740
CA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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