Individual
MARIELA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 HIGHWAY 6 S STE 150, COLLEGE STATION, TX 77845-1808
(979) 431-3380
Mailing address
2602 OLD KURTEN RD, BRYAN, TX 77803-2979
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
348795
TX
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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