Individual
ROSANNE DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.E.
Contact information
Practice address
1151 W ROBINHOOD DR STE A7, STOCKTON, CA 95207-5629
(209) 475-0607
Mailing address
1151 W ROBINHOOD DR STE A7, STOCKTON, CA 95207-5629
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
L6767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376622407
ROBERT ANOOSHIAN, M.D.
—
Enumeration date
04/03/2014
Last updated
04/03/2014
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