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Search › Virginia › 320600000X

Shawana Roach

NPI 1790276186 · on the registry since 2018 · sole proprietor

Practice

Address
10424 Walton Lake Rd
Disputanta, VA 23842
Phone
(757) 477-0424
Organisation at this address
Abundant Love, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
320600000X
320600000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia