Individual
AMY ROSE TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1887 BUSINESS CENTER DR, SUITE 2A, SAN BERNARDINO, CA 92408-3463
(909) 383-1053
(909) 381-2144
Mailing address
15736 SAN ROQUE RD, FONTANA, CA 92337-0920
(909) 357-8606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10947T
CA
Other
Enumeration date
01/16/2007
Last updated
11/29/2021
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