Individual
ROSELINE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 AVE LA SIERRA # 118M-24, SAN JUAN, PR 00926-4330
(787) 717-8299
Mailing address
300 AVE LA SIERRA # 118M-24, SAN JUAN, PR 00926-4330
(787) 717-8299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
407
PR
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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