Individual provider · Type 1 NPI

Ilse Ruby Roques Juarez

Student in an Organized Health Care Education/Training Program · Richmond, CA

NPI number 1417569674 Active

Practice location

205 39th St
Richmond, CA 94805-2212

Call (510) 412-5930 Map

Fax (510) 412-0567

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417569674

Ilse Ruby Roques Juarez's National Provider Identifier is 1417569674, issued on Aug 19, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, CA. The record was last updated on Aug 7, 2024.