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: |