Organization
DE LA ROSA EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY DE LA ROSA OD (MANAGER)
(571) 305-0400
Entity
Organization
Contact information
Practice address
107 S WEST ST STE 751, ALEXANDRIA, VA 22314-2824
(305) 306-2212
Mailing address
107 S WEST ST STE 751, ALEXANDRIA, VA 22314-2824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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