Individual
BRENDA LEE ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
201 N 27TH ST, MOUNT VERNON, IL 62864-2941
(618) 204-4607
Mailing address
201 N 27TH ST, MOUNT VERNON, IL 62864-2941
(618) 204-4607
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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