Individual
DENISE RENEE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.F.A.
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2480
(307) 578-2492
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2480
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
22664
WY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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