Individual
ALLISON LOUISE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
653 W 8TH ST # L17, JACKSONVILLE, FL 32209-6511
(904) 383-1018
(904) 244-6656
Mailing address
653 W 8TH ST # L17, JACKSONVILLE, FL 32209-6511
(904) 383-1018
(904) 244-6656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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