Individual
NATHAN RYAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 SETTER LN, PEARL RIVER, LA 70452-6311
(985) 788-4899
Mailing address
112 SETTER LN, PEARL RIVER, LA 70452-6311
(985) 788-4899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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