Individual
JESSICA ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3780 SWIFT AVE UNIT 9, SAN DIEGO, CA 92104-3939
(631) 513-3036
Mailing address
41770 MARGARITA RD APT 1051, TEMECULA, CA 92591-1951
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33396
CA
Other
Enumeration date
08/22/2017
Last updated
05/21/2023
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