Individual
ANN LOGAN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2999
Mailing address
15151 LITTLE RON RD, CHICO, CA 95973-9455
(530) 894-5416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
438605
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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