Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEDRA MATOYA ROBERTSON
Active Sole ProprietorDEDRA MATOYA ROBERTSON is a Customized Equipment (DME) healthcare provider located in ANDALUSIA, Alabama. NPI 1104388701 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · ANDALUSIA, AL
Registration Details
- NPI Number
- 1104388701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2019 (7.3777956675075 yrs)
- Last Updated
- Apr 2, 2019
- License
-
23190424 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 BEASLEY STANDALUSIA, AL, 364204957Browse AL providers · Browse ZIP 36420
- Phone
- 3348923784
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.