Individual
KKIMBERLY G ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13118 LINCOLN WAY, AUBURN, CA 95603-4100
(916) 768-4926
Mailing address
PO BOX 24, PILOT HILL, CA 95664-0024
(916) 768-4926
(530) 887-1637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LCS18805
CA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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