Individual provider · Type 1 NPI

Muriel Lisa Rose, PA-C

Medical Physician Assistant · Watsonville, CA

NPI number 1215080718 Active

Practice location

1066 S. Green Valley Rd.
Watsonville, CA 95076

Call (831) 722-2422 Map

Fax (831) 722-2855

Mailing address

1066 S Green Valley Rd
Watsonville, CA 95076-4163

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA11912 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1215080718

Muriel Lisa Rose, PA-C's National Provider Identifier is 1215080718, issued on Jan 19, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watsonville, CA. The record was last updated on Jul 8, 2007.