Isidro Roque, LPN
Licensed Practical Nurse in Denver, CO. Individual provider (NPI-1).
NPI number1669923959
StatusActive
Last updated in NPPESOct 20, 2016
Details
- NPI
- 1669923959
- Entity type
- Individual (NPI-1)
- Name
- Isidro Roque
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2016
- Last updated
- Oct 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 333121 | CO | Yes |
Practice location
2460 W 26th Ave Ste 217Denver, CO 80211-5308
Phone 303-322-7108
Mailing address
5620 E 68th AveCommerce City, CO 80022-2524
Phone 720-404-4911
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