Roebuck, Iris Anita

Roebuck, Iris Anita is an individual health care provider with primary practice located at 921 S Beacon St , San Pedro CA 90731-3740. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Roebuck, Iris Anita can be contacted via phone (310) 547-3341.

Contact Information

Primary practice address
921 S Beacon St San Pedro CA 90731-3740
Phone: (310) 547-3341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1730368424
LBN Legal business name Roebuck, Iris Anita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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