Individual
DORALUZ ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 S WESTERN AVE, LOS ANGELES, CA 90062
(323) 290-4376
Mailing address
1270 E 47TH PL, LOS ANGELES, CA 90011
(213) 245-0858
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695282
CA
Other
Enumeration date
08/16/2018
Last updated
08/27/2018
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