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Individual

ELIZABETH ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12450 VAN NUYS BLVD, PACOIMA OUTPATIENT CINIC SERVICE SUITE 201, PACOIMA, CA 91331-1391
(626) 395-7100
Mailing address
12450 VAN NUYS BLVD, PACOIMA OUTPATIENT CINIC SERVICE SUITE 201, PACOIMA, CA 91331-1391
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/08/2009
Last updated
06/26/2013
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