Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Roque

Individual provider Licensed Vocational Nurse · NPI 1093060220

Jacqueline Roque is a Licensed Vocational Nurse in Norwalk, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2012
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Practice location Address checks out

12440 Firestone Blvd
Norwalk, CA 90650-4328
Phone: (562) 929-6688
Fax: (562) 929-9074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1774 Zonal Ave Bldg C, Los Angeles, CA 90033-1064 — (310) 221-6336

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 222317 (CA)

Record details

NPI number1093060220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2012
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address12440 Firestone Blvd, Norwalk, CA 90650-4328

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