Individual
CAROL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
51 WILLIAM B GRAHAM CT, KILMARNOCK, VA 22482-3852
(804) 435-0575
Mailing address
257 TUCKER POINT LN, CALLAO, VA 22435-2137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001124953
VA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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