Most Relevant Information
Provider Data
| NPI Number: | 1003308016 |
| Provider Name: | CHASITY ROCQUEMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2018 |
| Last Updated: | 06/05/2018 |
Provider Practice Location
10839 SCOTCH ROSE ST
HENDERSON
NV
890528651
Practice Location Phone/Fax
| Phone: | 4439319919 |
| Fax: |
Provider Mailing Location
10839 SCOTCH ROSE ST
HENDERSON
NV
890528651
Provider Mailing Phone/Fax
| Phone: | 4439319919 |
| Fax: |