Individual
ANGELA K LA ROCQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8741 W SHIELDS AVE, FRESNO, CA 93723-9615
(559) 301-3885
Mailing address
8741 W SHIELDS AVE, FRESNO, CA 93723-9615
(559) 301-3885
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
252298
CA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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