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Individual

GENA WALLS ROEHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
2201001212
VA

Other

Enumeration date
08/28/2014
Last updated
10/12/2023
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