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NPI Code Detail

MEDICARE: MRS. URSULA ROBERTSON H.H.P

MEDICARE:  MRS. URSULA  ROBERTSON  H.H.P
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
1174400000XSpecialist

General Provider Information

NPI Number : 1811105174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. URSULA ROBERTSON H.H.P
Provider Business Mailing Address
First Line : 2340 TAMPA AVE STE A
Second Line :
City : EL CAJON
State : CA
Zip : 92020-2842
Country : US
Telephone Number : 619-301-2105
Fax Number : 619-644-1747
Provider Business Practice Location Address
First Line : 2340 TAMPA AVE STE A
Second Line :
City : EL CAJON
State : CA
Zip : 92020-2842
Country : US
Telephone Number : 619-301-2105
Fax Number : 619-644-1747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. URSULA ROBERTSON H.H.P” Practice Location

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