Most Relevant Information
Provider Data
NPI Number: | 1003365982 |
Provider Name: | EUGENE ROBERTS |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 10/03/2016 |
Last Updated: | 10/03/2016 |
Provider Practice Location
1065 KANSAS AVE
SAN LUIS OBISPO
CA
93405
Practice Location Phone/Fax
Phone: | 8057815325 |
Fax: |
Provider Mailing Location
1730 BISHOP ST
SAN LUIS OBISPO
CA
934014691
Provider Mailing Phone/Fax
Phone: | 8057815300 |
Fax: |