Individual
DIANA L ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 JACKSON LN, SPRINGBORO, OH 45066-7467
(937) 260-3471
Mailing address
22 JACKSON LN, SPRINGBORO, OH 45066-7467
(937) 260-3471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.275354
OH
Other
Enumeration date
04/17/2023
Last updated
05/18/2023
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