Individual
AMELIA NICOLE ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8767 CARMEL VALLEY RD, CARMEL, CA 93923-7958
(831) 582-1017
Mailing address
1125 JACKSON CT, MARINA, CA 93933-5033
(831) 917-8700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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