Most Relevant Information
Provider Data
| NPI Number: | 1003433798 |
| Provider Name: | MICHELLE ROBERTSON LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2020 |
| Last Updated: | 10/02/2024 |
Provider Practice Location
400 N TUSTIN AVE STE 120
SANTA ANA
CA
927053879
Practice Location Phone/Fax
| Phone: | 7146174886 |
| Fax: |
Provider Mailing Location
400 N TUSTIN AVE STE 120
SANTA ANA
CA
927053879
Provider Mailing Phone/Fax
| Phone: | 7146174886 |
| Fax: |