Individual
MS. KAYLEETA EVONNE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(909) 720-1130
(951) 789-1413
Mailing address
PO BOX 20317, RIVERSIDE, CA 92516-0317
(909) 720-1130
(909) 789-1413
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
376658
CA
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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