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Individual

MISS BEVERLEY ROACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5304 NW 16TH ST, APT.#1, LAUDERHILL, FL 33313-5490
(954) 243-4294
Mailing address
5407 CEDAR LN, ORLANDO, FL 32811-7903
(407) 879-8245
(407) 868-9537

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5209894
FL

Other

Enumeration date
11/30/2016
Last updated
07/27/2017
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