Individual
GIOVANNA ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
418 BROADWAY STE R, ALBANY, NY 12207-2922
(347) 698-3430
Mailing address
418 BROADWAY STE R, ALBANY, NY 12207-2922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86299814
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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