Individual
BRAULIO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 LONG BEACH BLVD, LONG BEACH, CA 90813-4418
(562) 624-5470
Mailing address
820 LONG BEACH BLVD, LONG BEACH, CA 90813-4418
(562) 624-5470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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