Lisette Roque

NPI #1063137909 in Bowie, Maryland

Provider Information

NPI Number: 1063137909
Entity Type: Individual
Name: Lisette Roque
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 4, 2022
Last Updated: Oct 4, 2022

Practice Location

Address: 1712 LINDEN PARK PL
City: Bowie
State: Maryland
ZIP Code: 20721-2718
Phone: (240) 636-4454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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