Provider Demographics
NPI:1912125691
Name:VERAQUE, JOCELYN CHIONG
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:CHIONG
Last Name:VERAQUE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JOCELYN
Other - Middle Name:VERAQUE
Other - Last Name:PASCUAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9003 SHEFFIELD GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4960
Mailing Address - Country:US
Mailing Address - Phone:757-650-1250
Mailing Address - Fax:
Practice Address - Street 1:9003 SHEFFIELD GARDEN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4960
Practice Address - Country:US
Practice Address - Phone:757-650-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist