Individual
MS. KATHLEEN A ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
100 6TH STREET, POINT REYES, CA 94956
(415) 473-3808
(415) 473-3828
Mailing address
PO BOX 331, POINT REYES, CA 94956
(415) 473-3808
(415) 473-3828
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
292634
CA
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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