JOHNATHAN SHANE ROACH

ARKADELPHIA, AR
NPI1124755715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-08-03
Last Update Date2022-08-03
Business Address
JOHNATHAN SHANE ROACH
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923-5307
Phone number: 870-230-8217
Mailing Address
JOHNATHAN SHANE ROACH
2607 CADDO ST STE 6
ARKADELPHIA, AR 71923-5307
Phone number: 870-230-8217
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