Individual
MRS. FRANCES ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT SPE
Contact information
Practice address
3035 LEGION RD, FAYETTEVILLE, NC 28306-3637
(910) 670-3050
Mailing address
120 GINSENG ST, SPRING LAKE, NC 28390-9590
(910) 670-3050
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C94606
NC
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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