Individual
MARY ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W FIR ST, FORT BRAGG, CA 95437-3204
(707) 921-2619
Mailing address
120 W FIR ST, FORT BRAGG, CA 95437-3204
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
RN271105
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
RN271105
CA
Other
Enumeration date
05/16/2007
Last updated
09/11/2025
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