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Nicole Rose

NPI 1518671916 · on the registry since 2023 · sole proprietor

Practice

Address
152 Bluefield Ave
Newbury Park, CA 91320
Phone
(818) 481-8402

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California