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Stephanie Ann-phillips Roach
Student in an Organized Health Care Education/Training Program in Minoa, New York
NPI 1144927252

Stephanie Ann-phillips Roach is a Student in an Organized Health Care Education/Training Program based in Minoa, NY. Stephanie Ann-phillips Roach practices in Minoa, NY. The NPI Number for Stephanie Ann-phillips Roach is 1144927252 and holds a License No. (New York).

The current practice location address for Stephanie Ann-phillips Roach is 427 East Ave, Minoa, NY and can be reached out via phone at 760-224-8011.

Location: 427 East Ave, Minoa, NY, 13116-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144927252
Provider Name
Stephanie Ann-phillips Roach
Credential
Provider Entity Type
Individual
Gender
Female
Address
427 East Ave, Minoa, NY, 13116-1209
Phone Number
760-224-8011
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
427 East Ave
City
Minoa
State
New York
Zip
13116-1209
Phone Number
760-224-8011
Fax Number
person
Provider Business Mailing Address Details
Address
427 East Ave
City
Minoa
State
New York
Zip
13116-1209
Phone Number
760-224-8011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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