Individual
ELIZA JOHANNA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(323) 222-4591
(323) 222-4614
Mailing address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(323) 222-4591
(323) 222-4614
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/11/2009
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