Individual
JOSE ROSALES SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
666 VIRGINIA CIR APT C, SAN BERNARDINO, CA 92405-5035
(909) 486-4109
Mailing address
666 VIRGINIA CIR APT C, SAN BERNARDINO, CA 92405-5035
(909) 486-4109
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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