ENNIO ROQUE DERAS

LOS ANGELES, CA
NPI1023640216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
ENNIO ROQUE DERAS
2121 W TEMPLE ST
LOS ANGELES, CA 90026-4915
Phone number: 213-385-5100
Mailing Address
ENNIO ROQUE DERAS
2121 W TEMPLE ST
LOS ANGELES, CA 90026-4915
Phone number: 213-385-5100
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