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Individual

DR. HERMINIA DE LA ROSA-TRUJILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24721 HUNTLEY DR, MORENO VALLEY, CA 92557-5106
(951) 242-1173
Mailing address
24721 HUNTLEY DR, MORENO VALLEY, CA 92557-5106

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4129
AZ

Other

Enumeration date
11/09/2011
Last updated
11/09/2011
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