MRS. Roberta Rae Short, ETC

NPI #1225255987 in Parker, Arizona

Provider Information

NPI Number
1225255987
Entity Type
Individual
Name
MRS. Roberta Rae Short, ETC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Credential
ETC
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12033 AGENCY RD
City
Parker
State
Arizona
ZIP Code
85344-7718
Phone
(928) 662-4718

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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