Individual
CAROL M ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6215 RIVERSIDE AVE, RIVERSIDE, CA 92506-2179
(951) 643-8329
Mailing address
16121 LONDA LN, RIVERSIDE, CA 92504-5889
(951) 643-8329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN423547
CA
163WG0000X
General Practice Registered Nurse
RN423547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN423547
STATE OF CA
CA
Enumeration date
12/30/2020
Last updated
12/30/2020
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