Most Relevant Information
Provider Data
| NPI Number: | 1003385691 |
| Provider Name: | TRACI ROBERTS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86084895 |
Most Important Dates
| Enumeration Date: | 11/13/2018 |
| Last Updated: | 12/28/2018 |
Provider Practice Location
200 W ARBOR DR
SAN DIEGO
CA
921039000
Practice Location Phone/Fax
| Phone: | 8586577000 |
| Fax: |
Provider Mailing Location
P.O.BOX 232410
SAN DIEGO
CA
921932410
Provider Mailing Phone/Fax
| Phone: | 8588226100 |
| Fax: |