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Individual

MRS. LADONNA ROCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCDNM, LSA

Contact information

Practice address
6000 S STAPLES ST STE 401, CORPUS CHRISTI, TX 78413-2952
(361) 902-8899
Mailing address
6000 S STAPLES ST STE 401, CORPUS CHRISTI, TX 78413-2952
(361) 902-8899

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary
SA00853
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145270
NBSTSA
TX
Enumeration date
09/11/2013
Last updated
10/04/2021
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