Roquette Marie Dungan | San Diego, CA • PECOS Search

Roquette Marie Dungan

Specialist

Other Service Providers

3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Roquette Marie Dungan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629195052
Provider Type
Individual
Full Name
Dungan, Roquette Marie
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3020 Childrens Way, Mc 5014, San Diego, CA 92123-4223

(858) 278-2365

Mailing Location

3020 Children'S Way, Mc 5014, San Diego, CA 92123-4282

(858) 278-2365

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License LCS15435 California