Individual
DUSTY MARK SHANE ROBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4675 CAMINO TASSAJARA, DANVILLE, CA 94506-5904
(925) 855-7800
Mailing address
631 AMBERSTONE LN, SAN RAMON, CA 94582-5741
(925) 389-1134
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
708488
CA
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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