Individual
CAROLYN M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 BRODIN LN, WATSONVILLE, CA 95076-0507
(831) 566-3653
Mailing address
224 OTIS ST, SANTA CRUZ, CA 95060-3552
(831) 566-3653
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
386175
CA
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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