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Individual

TANISHA N ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.T

Contact information

Practice address
8608 UTICA AVE, SUITE 220, RANCHO CUCAMONGA, CA 91730-4877
(951) 347-2426
Mailing address
8608 UTICA AVE, SUITE 220, RANCHO CUCAMONGA, CA 91730-4877
(951) 347-2426

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
00020103
CA

Other

Enumeration date
03/02/2010
Last updated
03/02/2010
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