Individual
ROBERT ELVIN MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 S BARNWELL ST, OCEANSIDE, CA 92054-4507
(619) 246-0561
Mailing address
2020 FREDA LN, CARDIFF, CA 92007-1419
(832) 316-4043
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26228598
DRIVER LICENSE
TX
Enumeration date
09/01/2020
Last updated
09/01/2020
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