Search › Arizona › 225100000X
Jan Rey Roa
NPI 1508494139 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10236 W Puget Ave
Peoria, AZ 85345 - Phone
- (510) 440-1383
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- CA, AZ, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-03
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 Arizona