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NPI Code Detail

MEDICARE: BIANCA ROBLES

MEDICARE:   BIANCA  ROBLES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174204432
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA ROBLES
Provider Business Mailing Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1881 UNIVERSITY DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-8083
Country : US
Telephone Number : 573-684-1007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 07/28/2023

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Directions to “ BIANCA ROBLES ” Practice Location

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