Individual
MR. CODY WILLIAM ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2304 ALTISMA WAY UNIT 110, CARLSBAD, CA 92009-6380
(209) 352-1827
Mailing address
2304 ALTISMA WAY UNIT 110, CARLSBAD, CA 92009-6380
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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