Individual
TAREN NICHOLE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 942-2037
Mailing address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61360299
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
05/03/2023
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