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Traci Roa

NPI 1477105021 · on the registry since 2019

Practice

Address
3433 W Shaw Ave # 112
Fresno, CA 93711
Phone
(559) 558-4051

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
101Y00000X
171M00000X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-04

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 California