Individual
KATRINA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
849 S GRAVEL PIT RD, DECATUR, IL 62522-9720
(217) 520-6953
Mailing address
849 S GRAVEL PIT RD, DECATUR, IL 62522-9720
(217) 520-6953
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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