Individual
ESOSA OROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7255 BOW BRIDGE WALK, SACRAMENTO, CA 95823-7585
(916) 875-1000
Mailing address
7255 BOW BRIDGE WALK, SACRAMENTO, CA 95823-7585
(916) 875-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
3747A0650X
Attendant Care Provider
Primary
215411130907
TN
Other
Enumeration date
12/05/2022
Last updated
12/14/2022
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