Individual
MICHELLE EDITH ROSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
939 W 66TH ST APT 1, LOS ANGELES, CA 90044-5374
(323) 492-7354
Mailing address
939 W 66TH ST APT 1, LOS ANGELES, CA 90044-5374
(323) 492-7354
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KPJGLB
CA
Other
Enumeration date
05/24/2025
Last updated
05/24/2025
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