MRS. Bertha Ann Roark, RN
NPI #1750598835 in Bloomfield, New Mexico
Provider Information
- NPI Number
- 1750598835
- Entity Type
- Individual
- Name
- MRS. Bertha Ann Roark, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - School
- Credential
- RN
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 310 LA JARA ST
- City
- Bloomfield
- State
- New Mexico
- ZIP Code
- 87413-6626
- Phone
- (505) 634-3673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - School — School |
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