DONNIE ROSE

VICTORVILLE, CA
NPI1699965756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  360003HN)
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
-- DONNIE ROSE
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-241-4917
Mailing Address
-- DONNIE ROSE
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: