Individual
MICHELLE K ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 EL CAMINO REAL, ARTHERTON, CA 94027-4301
(650) 543-3753
(650) 543-4497
Mailing address
34 SUNSET BLVD, HAMILTON, NJ 08690
(609) 610-0421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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