KEITH ROSE

VACAVILLE, CA
NPI1053818674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-04-10
Last Update Date2018-06-16
Business Address
KEITH ROSE
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
Mailing Address
KEITH ROSE
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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