Individual
TERESA ISABEL ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
273 WISCONSIN AVE APT 34, EL CAJON, CA 92020-3539
(619) 438-1327
Mailing address
273 WISCONSIN AVE APT 34, EL CAJON, CA 92020-3539
(619) 438-1327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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