Organization
LONNIE ROUSSO
Active
Other names
lonnie rousso
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE T ROUSSO (OWNER)
(760) 317-3020
Entity
Organization
Contact information
Practice address
480 VALE VIEW DR, VISTA, CA 92081-6719
(760) 317-3020
Mailing address
480 VALE VIEW DR, VISTA, CA 92081-6719
(760) 317-3020
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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