Individual
MR. ROBERT EUGENE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
599 TOMALES RD, HS A SCHOOL, PETALUMA, CA 94952-5002
(707) 765-7043
Mailing address
599 TONMALES, HS A SCHOOL, PETALUMA, CA 94952
(707) 765-7043
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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