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MS. KATHLEEN A ROACH RN PHN

Case Management >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1346424496

Individual Registrant:
MS. KATHLEEN A ROACH RN PHN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 6TH STREET  POINT REYES, CA 94956 US
Tel: 415-473-3808  Fax: 415-473-3828

Contact information for business:
PO BOX 331  POINT REYES, CA 94956 US
Tel: 415-473-3808  Fax: 415-473-3828

Registration Information:
NPI: 1346424496
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0400XNursing Service Providers
Registered Nurse
Case Management
CA292634

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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