Individual
DARRICK STEWART ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 MARSHALL ST., 18, CRESCENT CITY, CA 95531
(707) 954-8978
(707) 460-1401
Mailing address
1225 MARSHALL ST., 18, CRESCENT CITY, CA 95531
(707) 954-8978
(707) 460-1401
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
64848
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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