Provider Demographics
NPI:1982102224
Name:QUIROZ, ROSIE VARELA (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSIE
Middle Name:VARELA
Last Name:QUIROZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1589 W SHAW AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3500
Mailing Address - Country:US
Mailing Address - Phone:559-259-7579
Mailing Address - Fax:
Practice Address - Street 1:1589 W SHAW AVE STE 4
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3500
Practice Address - Country:US
Practice Address - Phone:559-259-7579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34086111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor