Individual
ANDREA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 772-5110
(623) 772-5120
Mailing address
45 S 3RD AVE, AVONDALE, AZ 85323-2264
(623) 772-5110
(623) 772-5120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP039220
AZ
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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