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1063187110
GEMMA DE LA ROSA
NORTHRIDGE, CA
NPI
1063187110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2021-08-11
Last Update Date
2023-07-05
Business Address
GEMMA DE LA ROSA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
GEMMA DE LA ROSA
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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