Most Relevant Information
Provider Data
NPI Number: | 1003054511 |
Provider Name: | ANNA LISSA ROSALES PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 01/22/2009 |
Last Updated: | 03/10/2021 |
Provider Practice Location
5810 EL CAMINO REAL STE A
CARLSBAD
CA
920088819
Practice Location Phone/Fax
Phone: | 7609298269 |
Fax: |
Provider Mailing Location
5810 EL CAMINO REAL STE A
CARLSBAD
CA
920088819
Provider Mailing Phone/Fax
Phone: | 7609298269 |
Fax: |