Individual
YAHAIRA LEE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
804 DUNLAWTON AVE, SUITE B, PORT ORANGE, FL 32127-4931
(386) 492-4881
Mailing address
3650 FRANCIS ST, PORT ORANGE, FL 32129-3637
(386) 290-9822
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH11678
FL
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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