Provider Demographics
NPI:1699022996
Name:ROBINSON, MARION RACHEL
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:RACHEL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:RACHEL
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1709 W AVENUE K10
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-8801
Mailing Address - Country:US
Mailing Address - Phone:661-350-1443
Mailing Address - Fax:
Practice Address - Street 1:44285 LOWTREE AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4170
Practice Address - Country:US
Practice Address - Phone:661-341-3900
Practice Address - Fax:661-341-3904
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program