Shayla R Robertson, IDC Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1003119538
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- License number
- RV013614 (OH)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-12-05
- Last updated
- 2010-12-05
Practice location
150 Allen St
Norfolk, VA 23505-1373
(850) 497-6656