Provider Demographics
NPI:1215486428
Name:ROBAR, ALICIA ANNE
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ANNE
Last Name:ROBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 N ADELAIDE ST
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-1828
Mailing Address - Country:US
Mailing Address - Phone:989-525-6053
Mailing Address - Fax:
Practice Address - Street 1:625 N ADELAIDE ST
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-1828
Practice Address - Country:US
Practice Address - Phone:989-525-6053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other