RUSSELL ANDRADA DELA ROSA

SACRAMENTO, CA
NPI1427033703
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy222Z00000X Orthotist
Enumeration Date2005-12-09
Last Update Date2007-07-08
Business Address
MR. RUSSELL ANDRADA DELA ROSA C.O.
4860 Y ST SUITE 1131
SACRAMENTO, CA 95817-2307
Phone number: 916-734-6732
Mailing Address
MR. RUSSELL ANDRADA DELA ROSA C.O.
3235 SANTA CRUZ RD
WEST SACRAMENTO, CA 95691-5857
Phone number: 916-371-8287