DIANE T ROQUE

GLENDALE, CA
NPI1649773920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95008440)
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
DIANE T ROQUE
710 S CENTRAL AVE STE 330
GLENDALE, CA 91204-4647
Phone number: 818-263-5737
Mailing Address
DIANE T ROQUE
119 N ARDMORE AVE
LOS ANGELES, CA 90004-4501
Phone number: 818-263-5737
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