Individual
MRS. ROSE THERESA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., MSN, PMHNP-BC
Contact information
Practice address
10737 LAUREL ST, RANCHO CUCAMONGA, CA 91730-3837
(909) 262-0300
Mailing address
10737 LAUREL ST, RANCHO CUCAMONGA, CA 91730-3837
(909) 989-5556
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
542896
CA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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