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Individual

ERIKA S ROARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
754 BONITA DRIVE, ENCINITAS, CA 92024
Mailing address
754 BONITA DRIVE, ENCINITAS, CA 92024
(951) 837-9665

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012261
CA

Other

Enumeration date
01/14/2020
Last updated
01/14/2020
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