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Individual

MARILYN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA

Contact information

Practice address
8283 GROVE AVE, SUITE 101, RANCHO CUCAMONGA, CA 91730-3137
(909) 982-8638
(909) 982-9618
Mailing address
6560 WESTMONT AVE, RANCHO CUCAMONGA, CA 91701-9100
(909) 244-0658
(909) 244-9198

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
08 FL 1335
UT
247100000X
Radiologic Technologist
RHF 94132
CA

Other

Enumeration date
08/20/2008
Last updated
12/16/2013
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