person
Diane T Roque
Family Nurse Practitioner in Glendale, California
NPI 1649773920

Diane T Roque is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Diane T Roque practices in Glendale, CA. The NPI Number for Diane T Roque is 1649773920 and holds a License No. 95008440 (California).

The current practice location address for Diane T Roque is 710 S Central Ave Ste 330, Glendale, CA and can be reached out via phone at 818-263-5737 and via fax at 818-263-5737. You can also correspond with Diane T Roque through the mailing address at 119 N ARDMORE AVE, LOS ANGELES, CA - 90004-4501 (mailing address contact number: 818-263-5737).

Location: 710 S Central Ave Ste 330, Glendale, CA, 90004-4501
person
Provider Profile Details
NPI Number
1649773920
Provider Name
Diane T Roque
Credential
Provider Entity Type
Individual
Gender
Female
Address
710 S Central Ave Ste 330, Glendale, CA, 90004-4501
Phone Number
818-263-5737
Fax Number
818-263-5737
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
710 S Central Ave Ste 330
City
State
Zip
91204-4647
Phone Number
818-263-5737
Fax Number
818-263-5737
person
Provider Business Mailing Address Details
Address
710 S Central Ave Ste 330
City
State
Zip
91204-4647
Phone Number
818-263-5737
Fax Number
818-263-5737
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95008440 (California)
Definition
Definition to come...
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