SHAWANA ROACH

Intellectual and/or Developmental Disabilities Residential Treatment Facility · DISPUTANTA, VA

Individual Active NPI 1790276186

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	✓	2452--01-001	VA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.