Individual
MR. SHANNON ORLANDO ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
3657 S DOUBLE ECHO RD, TUCSON, AZ 85735-5132
(520) 908-1461
Mailing address
3657 S DOUBLE ECHO RD, TUCSON, AZ 85735-5132
(520) 908-1461
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4119
AZ
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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