Individual
CITLHALI ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13343 NE BEL RED RD, BELLEVUE, WA 98005-2274
(425) 679-0801
Mailing address
624 YALE AVE N APT 702, SEATTLE, WA 98109-5954
(956) 971-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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