Individual
MRS. SAMANTHA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 INTREPID RD, RIDGECREST, CA 93555-2710
(336) 693-4898
Mailing address
2002 INTREPID RD, RIDGECREST, CA 93555-2710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000202
CA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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