Individual
JENNIFER LYNN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-2229
Mailing address
49 WINSLOW AVE, SOMERVILLE, MA 02144-2502
(860) 539-7231
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
11/04/2024
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