Individual
VERNITA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 PARKWAY CIR STE 104, NEW CASTLE, DE 19720-4077
(302) 437-4234
Mailing address
PO BOX 272195, FORT COLLINS, CO 80527-2195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0004320
DE
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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