Individual
ELLEN JOHANNESSEN ROQUEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Mailing address
1102 OAK GLEN LN, SUGAR LAND, TX 77479-6173
(713) 995-9292
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
619281
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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