Individual
MICHAEL W. ROQUEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23133 HAWTHORNE BLVD, STE.108, TORRANCE, CA 90505-3729
(310) 802-6661
(310) 802-6668
Mailing address
23133 HAWTHORNE BLVD, STE.108, TORRANCE, CA 90505-3729
(310) 802-6661
(310) 802-6668
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC15369
CA
111NX0800X
Orthopedic Chiropractor
DC15369
CA
Other
Enumeration date
07/05/2006
Last updated
09/15/2014
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