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NPI Code Detail

MEDICARE: MRS. PATRICIA CARMEN ROCHA-NAFARRATE LMFT

MEDICARE: MRS. PATRICIA CARMEN ROCHA-NAFARRATE LMFT
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
1106H00000XMarriage & Family Therapist40303CA

General Provider Information

NPI Number : 1770602559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA CARMEN ROCHA-NAFARRATE LMFT
Provider Business Mailing Address
First Line : PO BOX 1024
Second Line :
City : UPLAND
State : CA
Zip : 91785-1024
Country : US
Telephone Number : 909-576-5454
Fax Number :
Provider Business Practice Location Address
First Line : 2000 TYLER AVE
Second Line :
City : SOUTH EL MONTE
State : CA
Zip : 91733-3543
Country : US
Telephone Number : 626-442-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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