GIDEON M ROQUIZ

ERIE, PA
NPI1124169644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246XS1301X Spec/Tech, Cardiovascular, Sonography
(Licence: MD  18457)
Enumeration Date2007-02-08
Last Update Date2008-05-01
Business Address
-- GIDEON M ROQUIZ
5205 COVENTRY DR
ERIE, PA 16506-6107
Phone number: 814-835-2362
Mailing Address
-- GIDEON M ROQUIZ
5205 COVENTRY DR
ERIE, PA 16506-6107
Phone number: 814-835-2362