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Individual

MAGDIEL DE LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
3401 W SUNFLOWER AVE STE 250, SANTA ANA, CA 92704-6945
(888) 789-9585
Mailing address
3401 W SUNFLOWER AVE STE 250, SANTA ANA, CA 92704-6945
(888) 789-9585

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP
TX

Other

Enumeration date
11/05/2015
Last updated
07/28/2020
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