Organization
MARK A ROSA
Active
Other names
Mark Rosa OD
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI NEE (MANAGER)
(951) 681-4125
Entity
Organization
Contact information
Practice address
7710 LIMONITE AVE STE 101, RIVERSIDE, CA 92509-5342
(951) 681-4125
(951) 361-4595
Mailing address
7710 LIMONITE AVE STE 101, RIVERSIDE, CA 92509-5342
(951) 681-4125
(951) 361-4595
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
8575T
CA
Other
Enumeration date
09/29/2009
Last updated
10/19/2011
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