Individual
MICHAEL JAMES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
2200 RANDOLPH RD, MOGADORE, OH 44260-9345
(330) 628-8406
Mailing address
2661 CHELSEA DR, AKRON, OH 44312-3916
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400413421004
OH
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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