Individual provider · NPI-1
Tanisha N Roberts, R.T
Respiratory Therapist, Certified · Rancho Cucamonga, CA
NPI number1932422110
StatusActive
Last updated in NPPESMar 2, 2010
Details
- NPI
- 1932422110
- Entity type
- Individual (NPI-1)
- Name
- Tanisha N Roberts
- Credential
- R.T
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2010
- Last updated
- Mar 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | 00020103 | CA | Yes |
Practice location
8608 Utica AveSuite 220
Rancho Cucamonga, CA 91730-4877
Phone 951-347-2426
Mailing address
8608 Utica AveSuite 220
Rancho Cucamonga, CA 91730-4877
Phone 951-347-2426
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.