Individual
MS. CHRISTINE MAGIDIE DUMAYAS ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1552 COFFEE ROAD, SUITE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Mailing address
1552 COFFEE ROAD, SUITE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95010802
CA
Other
Enumeration date
01/20/2019
Last updated
08/05/2022
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