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ROSLYNN ADOLPHUS

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1770029548

Individual Registrant:
 ROSLYNN  ADOLPHUS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6800 OWENSMOUTH AVE  CANOGA PARK, CA 91303-3159 US
Tel: 818-610-6762  Fax: --

Contact information for business:
14623 HAWTHORNE BLVD  LAWNDALE, CA 90260-1581 US
Tel: 310-970-5000  Fax: --

Registration Information:
NPI: 1770029548
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
N171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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