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William Richard Kainoa Roach
Student in an Organized Health Care Education/Training Program in Alhambra, California
NPI 1376277392

William Richard Kainoa Roach is a Student in an Organized Health Care Education/Training Program based in Poway, CA. William Richard Kainoa Roach practices in Alhambra, CA. The NPI Number for William Richard Kainoa Roach is 1376277392 and holds a License No. (California).

The current practice location address for William Richard Kainoa Roach is 1000 S Fremont Ave, Alhambra, CA and can be reached out via phone at 626-457-4240.

Location: 1000 S Fremont Ave, Alhambra, CA, 92064-4969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376277392
Provider Name
William Richard Kainoa Roach
Credential
Provider Entity Type
Individual
Gender
Male
Address
1000 S Fremont Ave, Alhambra, CA, 92064-4969
Phone Number
626-457-4240
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 S Fremont Ave
City
Alhambra
State
California
Zip
91803-8800
Phone Number
626-457-4240
Fax Number
person
Provider Business Mailing Address Details
Address
1000 S Fremont Ave
City
Alhambra
State
California
Zip
91803-8800
Phone Number
626-457-4240
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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