Individual
MRS. LISA L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 966-3830
Mailing address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 966-3830
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
559487
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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