Individual
TRACI ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
2244 WOLVERTON CT, ALVA, FL 33920-1018
(239) 671-2763
Mailing address
2244 WOLVERTON CT, ALVA, FL 33920-1018
(239) 671-2763
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M6X3B3B8
FL
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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