Individual
MS. CHRISTINE ELLEN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-1211
(808) 935-5996
Mailing address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 935-5996
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/26/2008
Last updated
08/28/2008
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