Nino Ralph De La Cruz Rosales
Rehabilitation Practitioner in San Francisco, CA. Individual provider (NPI-1).
NPI number1851614101
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1851614101
- Entity type
- Individual (NPI-1)
- Name
- Nino Ralph De La Cruz Rosales
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2010
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
2681 28th AveSan Francisco, CA 94116-2912
Phone 415-681-3211
Mailing address
1801 Vicente StSan Francisco, CA 94116-2923
Phone 415-681-3211
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