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Individual
RENALDO OMALEE ROACHE
Active
Individual
RENALDO OMALEE ROACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
771242
NY
367500000X
Certified Registered Nurse Anesthetist
771242
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9273737
FL
367500000X
Certified Registered Nurse Anesthetist
RN9273737
FL
Other
Enumeration date
01/30/2014
Last updated
04/27/2023
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