Individual
REBECCA J ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
90 JACKSON PIKE, HOLZER CLINIC, GALLIPOLIS, OH 45631
(740) 446-5890
(740) 446-5982
Mailing address
90 JACKSON PIKE, HOLZER CLINIC INC., GALLIPOLIS, OH 45631
(740) 446-5890
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
131550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756347
—
OH
Enumeration date
09/19/2005
Last updated
05/01/2009
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