NPI 1437392636
Larry Jacob Rose
Practice location
- Address
- 1860 Walnut St Suite a, Red Bluff, CA 96080-3611
- Phone
- (530) 527-5637
- Fax
- (530) 527-0249
- Mailing address
- PO Box 400, Red Bluff, CA 96080-0400
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1437392636
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Apr 2009
- Record last updated
- 17 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.