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Individual

VIJEYAKUMARI ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
314921
AZ
367500000X
Certified Registered Nurse Anesthetist
314921
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150263504
TX
Enumeration date
07/26/2006
Last updated
06/23/2025
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