Individual
WILLIAM ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2903 VIA CARRIO, CARLSBAD, CA 92010-8341
(760) 622-1741
Mailing address
2903 VIA CARRIO, CARLSBAD, CA 92010-8341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256312
CA
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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