Individual
SIDONEY ROACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1110 FROST IRON CIR, RICHMOND, TX 77406-2290
(561) 293-9212
Mailing address
1110 FROST IRON CIR, RICHMOND, TX 77406-2290
(561) 293-9212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1056006
TX
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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