Individual
ANGELA GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11802-B ROCKVILLE PIKE, ROCKVILLE, MD 20852
(301) 770-7780
(301) 770-1433
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1758
MD
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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