Individual
ANETA GRITSAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7200 HARRISON AVE, UNIT E 265, ROCKFORD, IL 61112-1017
(815) 332-2223
Mailing address
7200 HARRISON AVE, UNIT E 265, ROCKFORD, IL 61112-1017
(815) 332-2223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010798
IL
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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