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Individual

DR. MARTA ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3980
CO
152W00000X
Optometrist
TA2693
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3980
STATE LICENSE
CO
01
TA2693
STATE LICENSE
MD
Enumeration date
07/12/2019
Last updated
04/09/2025
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