Justice Roque

NPI 1124754809 · on the registry since 2022 · sole proprietor

Practice

Address: 3601 Pacific Ave
Stockton, CA 95211
Phone: (209) 476-1959
Organisation at this address: Jori Andrus
University Of The Pacific
University Of The Pacific
University Of The Pacific
Community Re-Entry Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 72

Registry record

Primary taxonomy: 373H00000X
373H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California