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Individual

AMANDA RODERIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
218 W MAIN ST, SALEM, VA 24153-3614
(540) 389-0909
Mailing address
414 HIGHLAND AVE SW, ROANOKE, VA 24016-4214
(434) 221-5440

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0001309056
VA

Other

Enumeration date
03/05/2025
Last updated
04/21/2026
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