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Individual

BREANNA AUBREY ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6250 OLD DOBBIN LN, COLUMBIA, MD 21045-5816
(410) 730-3399
Mailing address
6250 OLD DOBBIN LN, COLUMBIA, MD 21045-5816
(410) 730-3399

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R263677
MD

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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