Individual
ROBERT SISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79120 FOX RUN, LA QUINTA, CA 92253-4531
(442) 400-3213
Mailing address
79120 FOX RUN, LA QUINTA, CA 92253-4531
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
29278
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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