Individual
NICOLA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-2523
(336) 575-5601
Mailing address
1012 BROOKSTOWN AVE, WINSTON SALEM, NC 27101-2523
(336) 575-5601
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7469
NC
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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