Individual
FELICIA LEANNA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2267 REED AVE, SAN DIEGO, CA 92109-5628
(706) 761-6976
Mailing address
2267 REED AVE, SAN DIEGO, CA 92109-5628
(706) 761-6976
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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