Individual
DEVON ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1000A EMELINE AVE, SANTA CRUZ, CA 95060-1900
(831) 425-0112
Mailing address
1000A EMELINE AVE, SANTA CRUZ, CA 95060-1900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
720518
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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