Individual
ROBERT THEODORE KULBETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS1
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7056
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7056
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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