Individual
KEESHA ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN
Contact information
Practice address
65 BERGEN ST # 1127, NEWARK, NJ 07107-3001
(973) 972-4307
Mailing address
65 BERGEN ST # 1127, NEWARK, NJ 07107-3001
(973) 972-4307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR27182500
NJ
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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