Individual
DR. ROXANNE R DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
798
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105755
MHN
—
01
—
850407910
TRICARE
NM
Enumeration date
03/20/2006
Last updated
06/17/2008
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