MICHELLIN DE LA ROSA

PANORAMA CITY, CA
NPI1962967778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95010751)
Enumeration Date2019-02-06
Last Update Date2023-09-21
Business Address
MICHELLIN DE LA ROSA
14457 ROSCOE BLVD
PANORAMA CITY, CA 91402-3012
Phone number: 818-810-5947
Mailing Address
MICHELLIN DE LA ROSA
655 S HOPE ST UNIT 903
LOS ANGELES, CA 90017-3220
Phone number: 909-618-7067
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