Individual
MS. LISA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11801 PIERCE ST, RIVERSIDE, CA 92505-4400
(951) 704-5993
Mailing address
29970 TECHNOLOGY DR STE 105, MURRIETA, CA 92563-2646
(951) 346-0064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
969335
CA
Other
Enumeration date
01/23/2008
Last updated
12/09/2020
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