Individual
MISS JULISSA VERONICA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 SW 87TH AVE # A5, MIAMI, FL 33174-3266
(786) 470-0375
Mailing address
1122 SW 87TH AVE # A5, MIAMI, FL 33174-3266
(786) 470-0375
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
02/06/2013
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