Individual
MR. LARRY JACOB ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1860 WALNUT ST, SUITE A, RED BLUFF, CA 96080-3611
(530) 527-5637
(530) 527-0249
Mailing address
PO BOX 400, RED BLUFF, CA 96080-0400
(530) 527-5637
(530) 527-0249
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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