LEASA L ROACH

TEXARKANA, AR
NPI1326061235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  526631)
Enumeration Date2006-07-25
Last Update Date2007-09-13
Business Address
-- LEASA L ROACH GNP
1205 E 35TH ST
TEXARKANA, AR 71854-2746
Phone number: 903-735-5355
Mailing Address
-- LEASA L ROACH GNP
1205 E 35TH ST
TEXARKANA, AR 71854-2746
Phone number: 903-835-5355