Individual
JOANNA DELAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Mailing address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 268328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7565A
OUTPATIENT MENTAL HEALTH
CA
Enumeration date
03/02/2016
Last updated
03/02/2016
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