Individual
JACQUELINE ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-9074
Mailing address
12440 FIRESTONE BLVD, NORWALK, CA 90650-4328
(562) 929-6688
(562) 929-9074
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
222317
CA
Other
Enumeration date
07/13/2012
Last updated
09/10/2024
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