Individual
KERRI ANN ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 FURLONG DR, REVERE, MA 02151-4006
(781) 922-6031
Mailing address
128 ENDICOTT AVE, REVERE, MA 02151-4158
(617) 347-7126
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PI157302
MA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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