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NPI Code Detail

MEDICARE: ESMERALDA ROQUE

MEDICARE: ESMERALDA ROQUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1710472956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA ROQUE
Provider Business Mailing Address
First Line : 3451 W SHAW AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93711-3242
Country : US
Telephone Number : 559-457-6960
Fax Number :
Provider Business Practice Location Address
First Line : 3451 W SHAW AVE STE 101
Second Line :
City : FRESNO
State : CA
Zip : 93711-3242
Country : US
Telephone Number : 559-457-6960
Fax Number : 559-573-3511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 08/20/2019

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Directions to “ ESMERALDA ROQUE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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