Individual
MIRTHA ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10714 BALTIMORE AVE, BELTSVILLE, MD 20705-2112
(240) 542-4420
(240) 542-4434
Mailing address
5326 5TH ST N, ARLINGTON, VA 22203-1304
(571) 319-9178
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
A03073
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03073
COTA
MD
Enumeration date
10/12/2022
Last updated
10/12/2022
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