Individual
ROBERTA RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN020908
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56313
—
AZ
Enumeration date
08/13/2010
Last updated
08/13/2010
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