Provider Demographics
NPI:1174398531
Name:ROACHE, LAQUASHA D'NEKA (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:
First Name:LAQUASHA
Middle Name:D'NEKA
Last Name:ROACHE
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 IVEY WOOD LN APT 114
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-4760
Mailing Address - Country:US
Mailing Address - Phone:919-213-0128
Mailing Address - Fax:
Practice Address - Street 1:3004 IVEY WOOD LN APT 114
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4760
Practice Address - Country:US
Practice Address - Phone:919-213-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula