Individual
LAURA SERRATOS DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
307 PLACENTIA AVE STE 107, NEWPORT BEACH, CA 92663
(949) 270-2153
Mailing address
307 PLACENTIA AVE STE 107, NEWPORT BEACH, CA 92663-3307
(949) 270-2153
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22791
CA
Other
Enumeration date
03/14/2013
Last updated
10/09/2018
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