Provider Demographics
NPI:1447856570
Name:ROQUEBERT, VALERIA SOFIA (BS, RDN)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:SOFIA
Last Name:ROQUEBERT
Suffix:
Gender:F
Credentials:BS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 EVERGREEN BAY LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7742
Mailing Address - Country:US
Mailing Address - Phone:713-560-3601
Mailing Address - Fax:
Practice Address - Street 1:1914 EVERGREEN BAY LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7742
Practice Address - Country:US
Practice Address - Phone:713-560-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered