Individual
CARRIE MARIE ROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
1915 C AVE, CEP-171 ROOM 204, NORFOLK, VA 23511-3705
(757) 445-8784
Mailing address
4826 LEDURA RD, VIRGINIA BEACH, VA 23462-7252
(757) 493-3561
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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