Mariah Kri'shanda Rose

Peer Specialist · Perris, CA

Individual Active NPI

NPI number 1780288639

Practice location

85 Ramona Expy Ste 1
Perris, CA 92571-7014
Phone
(951) 349-4195

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NPI record

NPI
1780288639
Entity type
Individual (Type 1)
Enumeration date
November 22, 2020
Last updated
November 22, 2020
Certified
November 22, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — CA

Mailing address

838 E Main St
San Jacinto, CA 92583-4412
Phone
(951) 337-8575

Other practice locations (1)

  • 838 E Main St, San Jacinto, CA 92583-4412 · (951) 337-8575

About Mariah Rose

Mariah Kri'shanda Rose is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 85 Ramona Expy Ste 1, Perris, CA 92571-7014. The NPI number 1780288639 was assigned on November 22, 2020 and the record was last updated on November 22, 2020.

Frequently asked questions

What is the NPI number of Mariah Kri'shanda Rose?

The NPI number is 1780288639.

What is the phone number of Mariah Rose?

The phone number listed for the practice location is (951) 349-4195.

Where is Mariah Rose located?

85 Ramona Expy Ste 1, Perris, CA 92571-7014.

What is the taxonomy code for Mariah Rose?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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