Individual
LYNNICE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1042 NELA VIEW RD, CLEVELAND, OH 44112-2357
(216) 762-4431
Mailing address
1042 NELA VIEW RD, CLEVELAND, OH 44112-2357
(216) 762-4431
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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