Individual
LYNN-MIRVA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2358 LOREN FALLS LN SW, MARIETTA, GA 30008-5088
(404) 729-0070
Mailing address
2358 LOREN FALLS LN SW, MARIETTA, GA 30008-5088
(404) 729-0070
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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