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Individual

MARIE ROBACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN-CDE

Contact information

Practice address
9894 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-5672
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
09224430
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
259264
CA

Other

Enumeration date
10/04/2006
Last updated
08/20/2009
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