Provider Demographics
NPI:1700944899
Name:PATTERSON, ROSEMARY D (DISPENSER)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:D
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025
Mailing Address - Country:US
Mailing Address - Phone:760-743-5544
Mailing Address - Fax:760-743-5306
Practice Address - Street 1:430 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-743-5544
Practice Address - Fax:760-743-5306
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAD1740237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHAD1740OtherHEARING AID LIC NUMBER