Individual
MRS. DEBRINA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRY TECH
Contact information
Practice address
BLDG 301 ANDREW AVE, FORT RUCKER, AL 36362
(334) 255-7722
Mailing address
BLDG 301 ANDREW AVE, FORT RUCKER, AL 36362
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/19/2008
Last updated
05/22/2015
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