Individual
MS. DEEDRA ELIZABETH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5655 CAMINITO DANZARIN, LA JOLLA, CA 92037-7161
(512) 466-2087
Mailing address
5353 MISSION CENTER RD STE 300, SAN DIEGO, CA 92108-1305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011012
CA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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