Individual
KACHELLE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIRLOSS SPECIALIST
Contact information
Practice address
1818 KNOLLWOOD DR, NORTH CHESTERFIELD, VA 23235-3853
(614) 537-4083
Mailing address
1818 KNOLLWOOD DR, NORTH CHESTERFIELD, VA 23235-3853
(614) 537-4083
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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