Individual
SILVIA GUADALUPE ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST STE A, INDIO, CA 92201-3096
(760) 863-8879
Mailing address
44199 MONROE ST STE A, INDIO, CA 92201-3096
(760) 863-8879
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508104670
MEDI-CAL
CA
Enumeration date
05/16/2016
Last updated
03/13/2024
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