Most Relevant Information
Provider Data
| NPI Number: | 1003477316 |
| Provider Name: | LILIANA DE LA ROSA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2019 |
| Last Updated: | 12/14/2022 |
Provider Practice Location
1380 HOWARD ST
SAN FRANCISCO
CA
941032638
Practice Location Phone/Fax
| Phone: | 4152553723 |
| Fax: |
Provider Mailing Location
1380 HOWARD ST
SAN FRANCISCO
CA
941032638
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |