Individual
ELLY S LAROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2299 POST ST STE 103, SAN FRANCISCO, CA 94115-3443
(415) 776-7878
Mailing address
2299 POST ST STE 103, SAN FRANCISCO, CA 94115-3443
(415) 776-7878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A79971
CA
Other
Enumeration date
07/18/2006
Last updated
08/23/2013
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