Individual
MR. ROBERT ROSEBURRY WEIGEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2835 HUGHES AVE, LAKE ISABELLA, CA 93240-2452
(760) 379-8317
(760) 379-8969
Mailing address
PO BOX 2452, LAKE ISABELLA, CA 93240-2452
(760) 379-8317
(760) 379-8969
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
SR ARH 100970245
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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