Individual
KOLLEEN DAWN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1440 S MAIN ST, BLACKSBURG, VA 24060-5568
(540) 953-2020
Mailing address
1440 S MAIN ST, BLACKSBURG, VA 24060-5568
(540) 953-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003402
VA
Other
Enumeration date
05/02/2022
Last updated
07/11/2024
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