Talia Lyntasha Roach

NPI #1013599224 in Greensboro, North Carolina

Provider Information

NPI Number: 1013599224
Entity Type: Individual
Name: Talia Lyntasha Roach
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 27, 2021
Last Updated: Apr 27, 2021

Practice Location

Address: 1302 SUMMIT AVE
City: Greensboro
State: North Carolina
ZIP Code: 27405-6752
Phone: (336) 542-8732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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