Provider Demographics
NPI:1467087601
Name:JUNSAY, ROSA C
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:C
Last Name:JUNSAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SANDPIPER PL
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7419
Mailing Address - Country:US
Mailing Address - Phone:510-325-4707
Mailing Address - Fax:925-932-7795
Practice Address - Street 1:39 SANDPIPER PL
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-7419
Practice Address - Country:US
Practice Address - Phone:510-325-4707
Practice Address - Fax:925-932-7795
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider