Individual
RICKY MELGAR ROSACINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10952 EVANS ST, LOMA LINDA, CA 92354-2752
(951) 499-9655
Mailing address
10952 EVANS ST, LOMA LINDA, CA 92354-2752
(951) 499-9655
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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