Individual
MARIA ISABELLA ORTEGA ROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
8359 LEESBURG PIKE, VIENNA, VA 22182-2492
(703) 442-9295
Mailing address
18002 GOLDEN SPRING CT, OLNEY, MD 20832-1773
(202) 384-5901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002670
VA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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