Individual
MARICEL C ROBLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1860 PENNSYLVANIA AVE, SUITE 230, FAIRFIELD, CA 94533-3590
(707) 646-4000
Mailing address
1200 B GALE WILSON BLVD, SUITE 230, FAIRFIELD, CA 94533-3552
(707) 646-5611
(707) 646-4902
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19115
NURSE PRACTITIONER
CA
01
—
741411
REGISTERED NURSE
CA
Enumeration date
02/22/2011
Last updated
03/10/2017
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