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Individual

MS. GRACE J ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, MMT 7172

Contact information

Practice address
1701 MOON ST NE STE 300, ALBUQUERQUE, NM 87112-3900
(505) 323-2114
Mailing address
1701 MOON STREET. NE SUITE 300, ALBUQUERQUE, NM 87112
(505) 323-2114

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7172
NM

Other

Enumeration date
12/02/2011
Last updated
04/03/2012
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