Individual
SOUNTHARY ROQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 N D ST # 320, SAN BERNARDINO, CA 92401-1545
(909) 893-2782
Mailing address
14783 GREEN LAWN DR, MORENO VALLEY, CA 92555-5744
(909) 809-1160
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95085621
CA
163WC1500X
Community Health Registered Nurse
95085621
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
95085621
CA
163WP0200X
Pediatric Registered Nurse
95085621
CA
Other
Enumeration date
07/03/2025
Last updated
09/26/2025
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