Individual
MR. ROQUE ANGELO BOSQUE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
113 RIVER BRIDGE LN APT 101, MEMPHIS, TN 38103-6996
(901) 921-2133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157730
TN
163W00000X
Registered Nurse
722601
CA
163WM0705X
Medical-Surgical Registered Nurse
157730
TN
163WN0800X
Neuroscience Registered Nurse
Primary
157730
TN
163WX0800X
Orthopedic Registered Nurse
157730
TN
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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