Individual
QUINCY RAEANN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 ENTERPRISE DR, VERONA, WI 53593-1919
(608) 445-9923
Mailing address
815 ENTERPRISE DR, VERONA, WI 53593-1919
(608) 445-9923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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