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Individual

LEAH ROQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.A, H.H.A.

Contact information

Practice address
333 W SAN CARLOS ST, SUITE 1680, SAN JOSE, CA 95110-2726
(408) 287-5007
(408) 287-3505
Mailing address
333 W SAN CARLOS ST, SUITE 1680, SAN JOSE, CA 95110-2726
(408) 287-5007
(408) 287-3505

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00239578
CA
376K00000X
Nurse's Aide
00775413
CA

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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