Individual
MRS. STACY ROQUEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
5700 COLLEGE BLVD, FARMINGTON, NM 87402-1773
(505) 599-8880
(505) 599-8891
Mailing address
5700 COLLEGE BLVD, FARMINGTON, NM 87402-1773
(505) 599-8880
(505) 599-8891
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R52752
NM
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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