Most Relevant Information
Provider Data
| NPI Number: | 1003403759 |
| Provider Name: | MICHAELA TESS ROBY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/29/2020 |
| Last Updated: | 12/29/2020 |
Provider Practice Location
1827 WAXLER RD
KEYSER
WV
267268548
Practice Location Phone/Fax
| Phone: | 3047902505 |
| Fax: | 3047886363 |
Provider Mailing Location
1827 WAXLER RD
KEYSER
WV
267268548
Provider Mailing Phone/Fax
| Phone: | 3047902505 |
| Fax: | 3047886363 |