Individual
NICOLAUS GUS ROSETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4913 HELBUSH DR, LAKEPORT, CA 95453-7060
(707) 262-4253
Mailing address
1023 E VAUGHT CT, WEST COVINA, CA 91792-1056
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95007370
CA
Other
Enumeration date
10/27/2017
Last updated
03/27/2025
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