Individual
JENNIFER C RAROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 380-1888
(702) 463-1507
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 380-1888
(702) 463-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11178
NV
Other
Enumeration date
05/04/2006
Last updated
08/07/2014
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