Individual
KATHERINE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTICIONER
Contact information
Practice address
91275 66TH STREET, 500, MECCA, CA 92254
(760) 396-1249
(760) 572-2255
Mailing address
91275 66TH AVE, 500, MECCA, CA 92254-5564
(760) 396-1249
(760) 396-1253
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
6013
CA
Other
Enumeration date
11/14/2007
Last updated
04/03/2014
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