Individual
JENNIFER INEZ ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 404-4011
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 479-4994
(360) 404-4011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
03/15/2022
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