Provider Demographics
NPI:1902668445
Name:DEL ROSARIO, ZOE KATRIEL LAWAS
Entity Type:Individual
Prefix:MISS
First Name:ZOE KATRIEL
Middle Name:LAWAS
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KIKO
Other - Middle Name:LAWAS
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:512 ZINNIA CT
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-3728
Mailing Address - Country:US
Mailing Address - Phone:707-590-4033
Mailing Address - Fax:
Practice Address - Street 1:512 ZINNIA CT
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-3728
Practice Address - Country:US
Practice Address - Phone:707-590-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician