Individual
RAEGAN DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Mailing address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95220521
CA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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