Provider Demographics
NPI:1427868405
Name:ROCA, YOUNGMAE
Entity type:Individual
Prefix:
First Name:YOUNGMAE
Middle Name:
Last Name:ROCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOUNG
Other - Middle Name:MAE
Other - Last Name:HA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 S OGLE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1422
Mailing Address - Country:US
Mailing Address - Phone:302-357-0788
Mailing Address - Fax:
Practice Address - Street 1:205 S OGLE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-1422
Practice Address - Country:US
Practice Address - Phone:302-357-0788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter