Individual
RANDALL W ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8401 COLESVILLE RD, STE 50, SILVER SPRING, MD 20910-3399
(301) 588-7888
(301) 588-3419
Mailing address
8401 COLESVILLE RD, STE 50, SILVER SPRING, MD 20910-3399
(301) 588-7888
(301) 587-5002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000223
MD
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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