Individual
MRS. REBECCA MARY ROMINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
RR 2 BOX 2493, BIRCH TREE, MO 65438-9229
(573) 714-5276
Mailing address
RR 2 BOX 2493, BIRCH TREE, MO 65438-9229
(573) 714-5276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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