JOHNATHAN DEREK ROARKE

BOWLING GREEN, KY
NPI1760369862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: KY  42526)
Enumeration Date2025-08-19
Last Update Date2025-08-19
Business Address
JOHNATHAN DEREK ROARKE PTA
116 PHELPS CT
BOWLING GREEN, KY 42104-7444
Phone number: 270-935-8077
Mailing Address
JOHNATHAN DEREK ROARKE PTA
116 PHELPS CT
BOWLING GREEN, KY 42104-7444
Phone number: 270-935-8077
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