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NPI Profile for KATHLEEN A ROACH in POINT REYES STATION, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X |
| NPI # | 1346424496 |
|
| Status | Active | |
| Credentials | RN PHN | |
| Entity | Individual | |
| Enumeration date | 12/26/2007 | |
| Last updated | 12/26/2007 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KATHLEEN A ROACH
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KATHLEEN A ROACH, RN PHN