Individual
MRS. ROSEANNA REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHW
Contact information
Practice address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6645
Mailing address
117 N B ST, LOMPOC, CA 93436-6901
(805) 737-6645
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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