Individual
ALICIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 W FLAMINGO RD STE 25AB, LAS VEGAS, NV 89103-3705
(702) 871-9917
Mailing address
2809 AUTUMN HAZE LN, LAS VEGAS, NV 89117-0635
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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