SHANNON L ROACH

SOUTH BEND, IN
NPI1962125336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28268382A)
Enumeration Date2022-09-21
Last Update Date2022-09-21
Business Address
SHANNON L ROACH NP
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635-1479
Phone number: 574-299-2450
Mailing Address
SHANNON L ROACH NP
6301 UNIVERSITY COMMONS STE 310
SOUTH BEND, IN 46635-1479
Phone number:
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