Provider Demographics
NPI:1447933262
Name:ROBLES, VALERIA PAOLA (RD, RDN)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:PAOLA
Last Name:ROBLES
Suffix:
Gender:F
Credentials:RD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26806 E CARNEGIE PARK DR APT 806
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-6157
Mailing Address - Country:US
Mailing Address - Phone:716-517-8199
Mailing Address - Fax:
Practice Address - Street 1:26806 E CARNEGIE PARK DR APT 806
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-6157
Practice Address - Country:US
Practice Address - Phone:716-517-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
TXDT88772133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered