Individual
ERICKA ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(142) 397-5220
Mailing address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(142) 397-5220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202371
TN
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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