Provider Information for 1831259746
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Mr. NELSON ROBLES MSW
Other Names:Other Name:NELSON ROBLES ROSARIOSex: Male
NPI: 1831259746
Last Updated: 2024-09-30
Certification Date: 2024-09-30
Certification Date: 2024-09-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1831259746 | ||||||||
| Enumeration Date | 2006-12-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1179 N MCDOWELL BLVD PETALUMA, CA 94954-6559 United States Phone: 707-559-7500 | Fax:707-559-7707 | ||||||||
| Primary Practice Address | 1179 N MCDOWELL BLVD PETALUMA, CA 94954-6559 United States Phone: 707-559-7500 | Fax:707-559-7707 | ||||||||
| Secondary Practice Address(es) | 33 SCHOOL ST | ||||||||
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