Individual
ROCHALLE IRENE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 COMMERCE AVE, LONGVIEW, WA 98632-3738
(360) 560-6464
Mailing address
128 N VISTA WAY, KELSO, WA 98626-3321
(360) 560-6464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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