ROQUE MEDINA

OMAHA, NE
NPI1013806009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-07-02
Last Update Date2025-07-02
Business Address
ROQUE MEDINA
3123 FONTENELLE BLVD
OMAHA, NE 68104-3775
Phone number: 512-792-8857
Mailing Address
ROQUE MEDINA
3123 FONTENELLE BLVD
OMAHA, NE 68104-3775
Phone number: