Individual
KRISTI ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9401980
FL
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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