MR. Russell Andrada Dela Rosa, C.O.

NPI #1427033703 in Sacramento, California

Provider Information

NPI Number: 1427033703
Entity Type: Individual
Name: MR. Russell Andrada Dela Rosa, C.O.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Orthotist
Credential: C.O.
Enumeration Date: Dec 9, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4860 Y ST
Address 2: SUITE 1131
City: Sacramento
State: California
ZIP Code: 95817-2307
Phone: (916) 734-6732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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