Individual
MISS ALMA DELIA ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
711 RAMSEY AVE, GRANTS PASS, OR 97527
(541) 479-5901
Mailing address
3469 DENVER PARK, KLAMATH FALLS, OR 97603
(541) 281-2121
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
200642822RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YMO800X
SOASTC
OR
Enumeration date
12/30/2011
Last updated
12/30/2011
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