Individual
MR. STEPHEN DIZON DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS MASON (DDG 87), 456-462 POCAHONTAS STREET, NORFOLK, VA 23511
(757) 392-2981
Mailing address
USS MASON (DDG 87), UNIT 100321 BOX 1, FPO, AE 09578-2100
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/30/2024
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