Provider Demographics
NPI:1245928712
Name:ROBERTS, TAMERA J
Entity type:Individual
Prefix:
First Name:TAMERA
Middle Name:J
Last Name:ROBERTS
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 1:1239 WELTON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2821
Mailing Address - Country:US
Mailing Address - Phone:330-714-3059
Mailing Address - Fax:
Practice Address - Street 1:1239 WELTON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2821
Practice Address - Country:US
Practice Address - Phone:330-714-3059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health