Most Relevant Information
Provider Data
| NPI Number: | 1003062548 |
| Provider Name: | ROSEMARY CHARMAINE DACOSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2008 |
| Last Updated: | 08/15/2008 |
Provider Practice Location
160 W. CERRITOS
BUILDING 4
ANAHEIM
CA
92805
Practice Location Phone/Fax
| Phone: | 7146876710 |
| Fax: |
Provider Mailing Location
21204 JASMINES WAY
LAKE FOREST
CA
92630
Provider Mailing Phone/Fax
| Phone: | 9492322290 |
| Fax: |