Individual
ADINA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 DRESDEN ADAMSVILLE RD, DRESDEN, OH 43821-9703
(760) 920-1518
Mailing address
850 DRESDEN ADAMSVILLE RD, DRESDEN, OH 43821-9703
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OTA000985
IA
171W00000X
Contractor
OTA05336
OH
171W00000X
Contractor
Primary
OTA2744
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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