Kristine Domingo Roque, | |
33018 Cattle Dr, Winchester, CA 92596-2264 | |
(619) 944-7156 | |
Not Available |
Full Name | Kristine Domingo Roque |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 33018 Cattle Dr, Winchester, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346008075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95029290 (California) | Primary |
Entity Name | Seven Star Hospital Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
Mailing Address | Practice Location Address |
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Kristine Domingo Roque, 33018 Cattle Dr, Winchester, CA 92596-2264 Ph: (619) 944-7156 | Kristine Domingo Roque, 33018 Cattle Dr, Winchester, CA 92596-2264 Ph: (619) 944-7156 |
Mrs. Sharon Denise Clay Matemavi, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34875 Pourroy Rd Apt 1408, Winchester, CA 92596 Phone: 281-795-3945 | |
Robert Charles Morse Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35470 Marabella Ct, Winchester, CA 92596 Phone: 951-233-4596 | |
Lyzette Christine Sanchez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31649 Leather Wood Dr, Winchester, CA 92596 Phone: 909-815-0720 | |
Christine Ann Swerczek, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36473 Rotterdam St, Winchester, CA 92596 Phone: 949-702-7243 |