Individual
HELMUT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2507 N LEGACY PARK BLVD, INDIAN LAND, SC 29707-7772
(510) 207-5441
Mailing address
2507 N LEGACY PARK BLVD, INDIAN LAND, SC 29707-7772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R205376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R205376
BOARD OF NURSING
SC
Enumeration date
12/14/2020
Last updated
12/14/2020
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