Decia Roach
Decia Roach is a Student in an Organized Health Care Education/Training Program in Whitestone, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
15050 14th RdWhitestone, NY 11357-2609
Phone: (718) 767-0091
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1790401586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 242 Concord Ave, West Hempstead, NY 11552-1202 |
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15050 14th Rd, Whitestone, NY 11357-2609 · (718) 767-0071