ISACC ROQUE

Community Health Worker

Active Individual
NPI: 1629594536

Practice Address

4989 N 3RD ST
Laramie, WY 82072

Phone: (307) 745-8997

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1629594536 is the National Provider Identifier for ISACC ROQUE, a Community Health Worker provider located in Laramie, WY. This NPI was enumerated on August 22, 2017.
ISACC ROQUE practices at 4989 N 3RD ST, Laramie, WY 82072.

Quick Facts

NPI
1629594536
Type
Individual
Enumerated
Aug 22, 2017
Last Updated
Jul 21, 2022

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