Individual ProviderSamantha Isaura RochaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24081 Sandly Glade Ave, Moreno Valley, CA 92557(951) 349-7522PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Isaura Rocha does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1659007326Provider TypeIndividualFull NameRocha, Samantha IsauraGenderFemaleSole ProprietorNoEnumeration Date7/26/2022Last Updated7/26/2022Contact InformationPractice LocationPractice Address24081 Sandly Glade Ave, Moreno Valley, CA 92557Phone(951) 349-7522FaxUnlisted FaxMailing LocationMailing Address24081 Sandly Glade Ave, Moreno Valley, CA 92557PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer