Most Relevant Information
Provider Data
| NPI Number: | 1003558180 |
| Provider Name: | ULISES ROSALES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2022 |
| Last Updated: | 04/10/2022 |
Provider Practice Location
302 CHERRY LN STE 101
MANTECA
CA
953374311
Practice Location Phone/Fax
| Phone: | 2096476200 |
| Fax: |
Provider Mailing Location
302 CHERRY LN STE 101
MANTECA
CA
953374311
Provider Mailing Phone/Fax
| Phone: | 2096476200 |
| Fax: |