Individual
MARCELA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MN
Contact information
Practice address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 310-6732
Mailing address
1234 ARCADIA AVE, VISTA, CA 92084-3404
(760) 310-6732
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
367194
CA
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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