Donnie Rose

NPI 1699965756 - Counselor - 101YA0400X

NPI Details
NPI 1699965756
Gender Male
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13333 PALMDALE RD
VICTORVILLE CA, 92392-9364, US
Phone (760) 241-4917
Fax
Business Location
13333 PALMDALE RD
VICTORVILLE CA, 92392-9364, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 360003HN
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According to our database, Donnie Rose NPI is 1699965756, taxonomy code is 101YA0400X and license number is 360003HN, license state is located at California. Donnie Rose physically located at 13333 Palmdale Rd, Victorville CA, 92392-9364. NPI Number Donnie Rose has the Individual type.

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1699965756 NPI number is provided on an as is basis without warranty of any kind. 1699965756 is maintained by the National Plan & Provider Enumeration System. The contents of Donnie Rose are for informational purposes only.