Individual
PATRICIA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 SE 4TH ST, CAPE CORAL, FL 33990-1048
(203) 768-4632
Mailing address
127 SE 4TH ST, CAPE CORAL, FL 33990-1048
(203) 768-4632
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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