Individual
DORIS A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDS.
Contact information
Practice address
2101 TRINITY DR STE T, LOS ALAMOS, NM 87544-4103
(505) 501-3647
(505) 662-7404
Mailing address
1332 LA MIRADA CIR, LOS ALAMOS, NM 87544-2767
(505) 501-3647
(505) 662-7404
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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