Provider Information for 1679091870
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Ms. LAURA EVELYN ROCHELLE
Sex: Female
NPI: 1679091870
Last Updated: 2025-01-09
Certification Date: 2025-01-09
Certification Date: 2025-01-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679091870 | ||||||||
| Enumeration Date | 2017-09-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 380 ENCINAL ST STE 200 SANTA CRUZ, CA 95060-2178 United States Phone: 831-469-1700 | Fax:831-425-1905 | ||||||||
| Primary Practice Address | 8020 HIHN RD BEN LOMOND, CA 95005-9660 United States Phone: 831-600-5169 | Fax: | ||||||||
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