VIVIAN M ROQUE-BALBOA

BRONX, NY
NPI1518626530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-12-17
Last Update Date2022-06-20
Business Address
VIVIAN M ROQUE-BALBOA
579 COURTLANDT AVE
BRONX, NY 10451-5013
Phone number: 718-485-2100
Mailing Address
VIVIAN M ROQUE-BALBOA
3103 FAIRFIELD AVE APT 6B
BRONX, NY 10463-3285
Phone number: