RICKEY ROACH

MILWAUKEE, WI
NPI1710697818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: WI  0019066)
Enumeration Date2022-11-29
Last Update Date2022-11-29
Business Address
RICKEY ROACH
2928 N 55TH ST
MILWAUKEE, WI 53210-1561
Phone number: 414-766-8072
Mailing Address
RICKEY ROACH
PO BOX 241003
MILWAUKEE, WI 53224-9025
Phone number: 414-766-8072
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