Individual
TAMARA R ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
(505) 753-7081
Mailing address
PO BOX 401, ALCALDE, NM 87511-0401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513868987
—
NM
Enumeration date
07/20/2021
Last updated
07/20/2021
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