Individual
CAROLYN JOAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5300 HIGHWAY 49 NORTH, MARIPOSA, CA 95338-0155
(209) 966-3672
(209) 966-5548
Mailing address
PO BOX 155, 5300 HIGHWAY 49 NORTH, MARIPOSA, CA 95338-0155
(209) 966-3672
(209) 966-5548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A 41263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A412630
—
CA
01
—
A 41263
MEDICAL LICENSE
CA
Enumeration date
12/19/2006
Last updated
08/25/2008
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