Individual
MRS. ANNETTE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5449 ARLINGTON AVE, SAINT LOUIS, MO 63120-2520
(314) 385-1965
(314) 381-3199
Mailing address
5449 ARLINGTON AVE, SAINT LOUIS, MO 63120-2520
(314) 385-1965
(314) 381-3199
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
070503
MO
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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