Individual
NATHANIEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
Mailing address
745 W DIAMOND AVE APT 2, HAZLETON, PA 18201-4937
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9987127
PA
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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