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Individual

MARY CHIEN ROZELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2490 HOSPITAL DR, SUITE 201, MOUNTAIN VIEW, CA 94040-4122
(650) 962-4609
Mailing address
2490 HOSPITAL DRIVE, SUITE 201, MOUNTAIN VIEW, CA 94040
(650) 962-4609

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16380
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA03108
CA
Enumeration date
06/02/2006
Last updated
03/01/2012
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