Individual
LUIS ROSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16210 MESA LARGO ST, VICTORVILLE, CA 92395-5362
(323) 706-4653
Mailing address
16210 MESA LARGO ST, VICTORVILLE, CA 92395-5362
(323) 706-4653
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95034880
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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