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MR. ROQUE ANGELO BOSQUE BSN, RN

Nursing Service Providers Registered Nurse

Provider NPI: 1457788515

Provider Information:
MR. ROQUE ANGELO BOSQUE BSN, RN
Gender: M
Not Sole Proprietor

Practice Location:
1030 JEFFERSON AVE  MEMPHIS, TN 38104-2127 US
Tel: 901-523-8990  Fax: --

Business Mailing Address:
113 RIVER BRIDGE LN APT 101  MEMPHIS, TN 38103-6996 US
Tel: 901-921-2133  Fax: --

NPI Information:
NPI: 1457788515
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
TN157730
N163W00000XNursing Service Providers
Registered Nurse
CA722601
N163WM0705XNursing Service Providers
Registered Nurse
TN157730
Y163WN0800XNursing Service Providers
Registered Nurse
TN157730
N163WX0800XNursing Service Providers
Registered Nurse
TN157730

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WN0800X

Type:

Classification:



Definition:



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