Richard Roybal
Driver in Arcata, CA. Individual provider (NPI-1).
NPI number1205448024
StatusActive
Last updated in NPPESAug 21, 2020
Details
- NPI
- 1205448024
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Roybal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2020
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | B4707618 | CA | Yes |
Practice location
4514 Valley West Blvd Apt AArcata, CA 95521-4685
Phone 707-407-9167
Mailing address
Po Box 2842McKinleyville, CA 95519-2842
Phone 707-407-9167
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