Individual
MS. ANGELA IVY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1911 ADDISON ST, SUITE 201, BERKELEY, CA 94704-1267
(510) 517-6858
Mailing address
177 HANNA WAY, MENLO PARK, CA 94025-3581
(510) 517-6858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
10848
CA
Other
Enumeration date
11/14/2006
Last updated
03/17/2012
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