Individual
DEBORAH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 E RUNNION RD, SEQUIM, WA 98382-7551
(360) 808-5145
Mailing address
624 E RUNNION RD, SEQUIM, WA 98382-7551
(360) 808-5145
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
2372
WA
246ZA2600X
Medical Art Specialist/Technologist
2372
WA
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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