Individual
CIERRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E MAIN ST, QUINCY, CA 95971-9722
(530) 283-3960
Mailing address
711 E MAIN ST, QUINCY, CA 95971-9722
(530) 283-3960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
02/01/2019
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