| J C Raroque Md Llc | |
|
1000 N Green Valley Pkwy Suite 440-#105 Henderson NV 89074-6170 | |
| (702) 303-2190 | |
| Not Available |
| Full Name | J C Raroque Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 N Green Valley Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Jennifer Raroque (MANAGING MEMBER) |
| Authorized Official Contact | 7023032190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J C Raroque Md Llc 1000 N Green Valley Pkwy Suite 440-#105 Henderson NV 89074-6170 Ph: (702) 303-2190 | J C Raroque Md Llc 1000 N Green Valley Pkwy Suite 440-#105 Henderson NV 89074-6170 Ph: (702) 303-2190 |
| NPI Number | 1346464864 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346464864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11178 (Nevada) | Primary |
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